keyword
https://read.qxmd.com/read/38546706/evaluation-of-telehealth-services-that-are-clinically-appropriate-for-reimbursement-in-the-us-medicaid-population-mixed-methods-study
#1
JOURNAL ARTICLE
Sanjeev Saravanakumar, Andrey Ostrovsky
BACKGROUND: When the US Department of Health and Human Services instituted a State of Public Health Emergency (PHE) during the COVID-19 pandemic, many telehealth flexibilities were fast-tracked to allow state Medicaid agencies to reimburse new specialty services, sites of care, and mediums such as FaceTime to communicate with patients.. This resulted in expanded access to care for financially vulnerable Medicaid patients, as evidenced by an uptick in telehealth use. Research has mostly focused on telehealth reimbursement for limited use cases such as rural primary care, without broader consideration for how telehealth can be appropriately mainstreamed and maintained...
March 28, 2024: Journal of Medical Internet Research
https://read.qxmd.com/read/38546557/using-causal-mediation-to-examine-self-efficacy-as-a-mechanism-through-which-continuing-care-interventions-reduce-alcohol-use
#2
JOURNAL ARTICLE
Ahnalee M Brincks, David P MacKinnon, David H Gustafson, James R McKay
OBJECTIVE: Understanding the causal mechanisms through which telephone and mobile health continuing care approaches reduce alcohol use can help develop more efficient interventions that effectively target these mechanisms. Self-efficacy for successfully coping with high-risk alcohol relapse situations is a theoretically and empirically supported mediator of alcohol treatment. This secondary analysis aims to examine self-efficacy as a mechanism through which remote-delivered continuing care interventions reduce alcohol use...
March 28, 2024: Psychology of Addictive Behaviors
https://read.qxmd.com/read/38545686/algorithm-driven-tele-otoscope-for-remote-care-for-patients-with-otitis-media
#3
JOURNAL ARTICLE
Te-Yung Fang, Tse-Yu Lin, Chung-Min Shen, Su-Yi Hsu, Shing-Huey Lin, Yu-Jung Kuo, Ming-Hsu Chen, Tan-Kuei Yin, Chih-Hsien Liu, Men-Tzung Lo, Pa-Chun Wang
OBJECTIVE: The COVID-19 pandemic has spurred a growing demand for telemedicine. Artificial intelligence and image processing systems with wireless transmission functionalities can facilitate remote care for otitis media (OM). Accordingly, this study developed and validated an algorithm-driven tele-otoscope system equipped with Wi-Fi transmission and a cloud-based automatic OM diagnostic algorithm. STUDY DESIGN: Prospective, cross-sectional, diagnostic study. SETTING: Tertiary Academic Medical Center...
March 28, 2024: Otolaryngology—Head and Neck Surgery
https://read.qxmd.com/read/38544207/a-low-cost-wearable-device-to-estimate-body-temperature-based-on-wrist-temperature
#4
JOURNAL ARTICLE
Marcela E Mata-Romero, Omar A Simental-Martínez, Héctor A Guerrero-Osuna, Luis F Luque-Vega, Emmanuel Lopez-Neri, Gerardo Ornelas-Vargas, Rodrigo Castañeda-Miranda, Ma Del Rosario Martínez-Blanco, Jesús Antonio Nava-Pintor, Fabián García-Vázquez
The remote monitoring of vital signs and healthcare provision has become an urgent necessity due to the impact of the COVID-19 pandemic on the world. Blood oxygen level, heart rate, and body temperature data are crucial for managing the disease and ensuring timely medical care. This study proposes a low-cost wearable device employing non-contact sensors to monitor, process, and visualize critical variables, focusing on body temperature measurement as a key health indicator. The wearable device developed offers a non-invasive and continuous method to gather wrist and forehead temperature data...
March 18, 2024: Sensors
https://read.qxmd.com/read/38543996/autonomous-sensor-system-for-low-capacity-wind-turbine-blade-vibration-measurement
#5
JOURNAL ARTICLE
Diego Muxica, Sebastian Rivera, Marcos E Orchard, Constanza Ahumada, Francisco Jaramillo, Felipe Bravo, José M Gutiérrez, Rodrigo Astroza
This paper presents the design, implementation, and validation of an on-blade sensor system for remote vibration measurement for low-capacity wind turbines. The autonomous sensor system was deployed on three wind turbines, with one of them operating in harsh weather conditions in the far south of Chile. The system recorded the acceleration response of the blades in the flapwise and edgewise directions, data that could be used for extracting the dynamic characteristics of the blades, information useful for damage diagnosis and prognosis...
March 7, 2024: Sensors
https://read.qxmd.com/read/38536196/offloading-and-adherence-through-technological-advancements-modern-approaches-for-better-foot-care-in-diabetes
#6
REVIEW
Sicco A Bus, Neil D Reeves, David G Armstrong, Bijan Najafi
OBJECTIVE: This manuscript aims to provide a review and synthesis of contemporary advancements in footwear, sensor technology for remote monitoring, and digital health, with a focus on improving offloading and measuring and enhancing adherence to offloading in diabetic foot care. METHODS: A narrative literature review was conducted by sourcing peer-reviewed articles, clinical studies, and technological innovations. This paper includes a review of various strategies, from specifically designed footwear, smart insoles and boots to using digital health interventions, which aim to offload plantar pressure and help prevent and manage wounds more effectively by improving the adherence to such offloading...
February 2024: Diabetes/metabolism Research and Reviews
https://read.qxmd.com/read/38534525/contactless-blood-oxygen-saturation-estimation-from-facial-videos-using-deep-learning
#7
JOURNAL ARTICLE
Chun-Hong Cheng, Zhikun Yuen, Shutao Chen, Kwan-Long Wong, Jing-Wei Chin, Tsz-Tai Chan, Richard H Y So
Blood oxygen saturation (SpO2 ) is an essential physiological parameter for evaluating a person's health. While conventional SpO2 measurement devices like pulse oximeters require skin contact, advanced computer vision technology can enable remote SpO2 monitoring through a regular camera without skin contact. In this paper, we propose novel deep learning models to measure SpO2 remotely from facial videos and evaluate them using a public benchmark database, VIPL-HR. We utilize a spatial-temporal representation to encode SpO2 information recorded by conventional RGB cameras and directly pass it into selected convolutional neural networks to predict SpO2 ...
March 4, 2024: Bioengineering
https://read.qxmd.com/read/38534496/validation-of-a-new-and-straightforward-algorithm-to-evaluate-signal-quality-during-ecg-monitoring-with-wearable-devices-used-in-a-clinical-setting
#8
JOURNAL ARTICLE
Luca Neri, Ilaria Gallelli, Massimo Dall'Olio, Jessica Lago, Claudio Borghi, Igor Diemberger, Ivan Corazza
BACKGROUND: Wearable devices represent a new approach for monitoring key clinical parameters, such as ECG signals, for research and health purposes. These devices could outcompete medical devices in terms of affordability and use in out-clinic settings, allowing remote monitoring. The major limitation, especially when compared to implantable devices, is the presence of artifacts. Several authors reported a relevant percentage of recording time with poor/unusable traces for ECG, potentially hampering the use of these devices for this purpose...
February 26, 2024: Bioengineering
https://read.qxmd.com/read/38531447/towards-interpretable-machine-learning-for-observational-quantification-of-soil-heavy-metal-concentrations-under-environmental-constraints
#9
JOURNAL ARTICLE
Yishan Sun, Shuisen Chen, Hao Jiang, Boxiong Qin, Dan Li, Kai Jia, Chongyang Wang
Monitoring heavy metal concentrations in soils is central to assessing agricultural production safety. Satellite observations permit inferring concentrations from spectrum, thereby contributing to the prevention and control of soil heavy metal pollution. However, heavy metals exhibit weak spectral responses, particularly at low and medium concentrations, and are predominantly influenced by other soil components. Machine learning (ML)-driven modelling can produce predictions but lacks interpretability. Here, we present an interpretable ML framework for concentration quantification modelling and investigated the contributions of spectral and environmental factors-pH and organic carbon-to the estimation of metals with multiple concentration gradients, as analysed through SHAP (SHapley Additive exPlanations) data derived from four learning-based scenarios...
March 24, 2024: Science of the Total Environment
https://read.qxmd.com/read/38530223/history-and-investigation-of-the-chemical-odors-and-explosion-in-the-university-avenue-sanitary-sewer
#10
JOURNAL ARTICLE
Adam Krajicek, Neil G Carlson, Caylin Crawford
During the summer of 2022, a fire and explosion occurred in a sanitary sewer tunnel adjacent to the University of Minnesota Twin Cities campus, propelling utility maintenance covers several meters into the air and jeopardizing the safety of the public and emergency responders. The investigation into the explosion highlighted the complex variables involved in the response to sanitary sewer events. This case study outlines current approaches and proposes recommendations for agencies to be better prepared to prevent, detect, and respond to sewer-related incidents in the future...
March 26, 2024: Journal of Occupational and Environmental Hygiene
https://read.qxmd.com/read/38529042/expert-insight-into-the-use-of-ehealth-interventions-to-aid-medication-adherence-during-covid-19
#11
JOURNAL ARTICLE
Ahmed Hassan, Non Davies
BACKGROUND AND AIM: The COVID-19 pandemic has transformed the way healthcare is delivered by the increased utilisation of eHealth tools to deliver remote patient consultations. These eHealth tools served various functions during COVID-19 including monitoring and surveillance of patients. Therefore, assessment of digital health interventions for monitoring medication adherence is crucial to maximise the potential benefits of eHealth. The aim of this study is to understand the perspectives of experts in medication adherence around eHealth interventions used to aid adherence during COVID-19...
2024: Patient Preference and Adherence
https://read.qxmd.com/read/38523502/-ergonomics-and-organization-of-remote-work-health-aspect-and-recommendations-for-home-office-organization
#12
JOURNAL ARTICLE
Magdalena Janc, Ewa Lipiec, Zbigniew Jóźwiak, Kinga Polańska, Teresa Makowiec-Dąbrowska
Analyses of the economic activity of the Polish population indicate that in 2023, about 7% of all employees performed, usually or sometimes, their work in the form of remote work. The purpose of this publication is to analyze the impact of working with screen-monitor devices on computer vision syndromes, musculoskeletal disorders, circadian rhythm, and to identify recommendations for the proper organization of the home office. A narrative review of the existing literature on the impact of work with the use of devices equipped with screen monitors on the health of employees was performed, as well as recommendations in the above-mentioned area were presented...
March 22, 2024: Medycyna Pracy
https://read.qxmd.com/read/38523106/assessment-of-land-use-change-of-ecological-green-wedge-and-cooling-island-effect-a-case-study-of-wuhan-china
#13
JOURNAL ARTICLE
Hui-Min Liu, Wen-Qi Qian, Lu-Jia Tang, Yi-Han Wu, Jia-Ying Zeng
The construction of urban ecological green wedges, which can mitigate the heat island effect through cooling and ventilation effects, is an important way to enhance the adaptation of cities to climate change. Dynamic monitoring and periodic assessment of both the conservation status and cooling effect of ecological green wedges is a key to ensure the heat mitigation benefits. Based on multi-source remote sensing data, we systematically analyzed the land use changes of six ecological green wedges in Wuhan in 2013 and 2020 using the methods of Markov transfer matrix, land use dynamics, and comprehensive index of land use degree, and evaluated the changes in surface temperature of the ecological green wedges and their cooling island effect...
February 2024: Ying Yong Sheng Tai Xue Bao, the Journal of Applied Ecology
https://read.qxmd.com/read/38521842/improving-the-latency-for-5g-b5g-based-smart-healthcare-connectivity-in-rural-area
#14
JOURNAL ARTICLE
Arun Kumar, Nishant Gaur, Aziz Nanthaamornphong
Smart hospitals are poised to greatly enhance life quality by offering persistent health monitoring capabilities. Remote healthcare and surgery, which are highly dependent on low latency, have seen a transformative improvement with the advent of 5G technology. This has facilitated a new breed of healthcare services, including monitoring and remote surgical procedures. The enhanced features of 5G, such as Enhanced Mobile Broadband (eMBB) and Ultra-Reliable Low Latency Communications (URLLC), have enabled the development of advanced healthcare systems...
March 23, 2024: Scientific Reports
https://read.qxmd.com/read/38521641/toward-a-comprehensive-supportive-care-intervention-for-older-men-with-metastatic-prostate-cancer-topcop3-a-pilot-randomized-controlled-trial-and-process-evaluation
#15
JOURNAL ARTICLE
Shabbir M H Alibhai, Martine Puts, Rana Jin, Kian Godhwani, Maryjo Antonio, Soha Abdallah, Gregory Feng, Monika K Krzyzanowska, Enrique Soto-Perez-de-Celis, Efthymios Papadopoulos, Calvin Mach, Ferozah Nasiri, Srikala S Sridhar, Rachel Glicksman, Lesley Moody, Jacqueline Bender, Hance Clarke, Andrew Matthew, Dennis McIntosh, Winston Klass, Urban Emmenegger
INTRODUCTION: Current management of metastatic prostate cancer (mPC) includes androgen receptor axis-targeted therapy (ARATs), which is associated with substantial toxicity in older adults. Geriatric assessment and management and remote symptom monitoring have been shown to reduce toxicity and improve quality of life in patients undergoing chemotherapy, but their efficacy in patients being treated with ARATs has not been explored. The purpose of this study is to examine whether these interventions, alone or in combination, can improve treatment tolerability and quality of life (QOL) for older adults with metastatic prostate cancer on ARATs...
March 22, 2024: Journal of Geriatric Oncology
https://read.qxmd.com/read/38518816/new-approaches-and-error-assessment-to-snow-cover-thickness-and-density-using-air-temperature-data-at-different-heights
#16
JOURNAL ARTICLE
Diego García-Maroto, Luis Durán Montejano, Miguel Ángel de Pablo Hernández
Snow poles are inexpensive systems composed of a wooden mast with temperature sensors affixed at varying heights with the purpose of estimating the snow depth. They are frequently utilised in cold, remote regions where the maintenance of complex monitoring instruments becomes impractical. In this study, snow cover thickness is determined using different methods, based on the thermal behaviour of air temperature measured by a snow pole on Deception Island, Antarctica. The methods are compared to high-resolution measurements of snow depth obtained using an ultrasonic sensor at the same site...
March 20, 2024: Science of the Total Environment
https://read.qxmd.com/read/38517825/iot-based-incubator-monitoring-and-machine-learning-powered-alarm-predictions
#17
JOURNAL ARTICLE
Cansu Celebioglu, Ayca Kumluca Topalli
BACKGROUND: Incubators, especially the ones for babies, require continuous monitoring for anomaly detection and taking action when necessary. OBJECTIVE: This study aims to introduce a system in which important information such as temperature, humidity and gas values being tracked from incubator environment continuously in real-time. METHOD: Multiple sensors, a microcontroller, a transmission module, a cloud server, a mobile application, and a Web application were integrated Data were made accessible to the duty personnel both remotely via Wi-Fi and in the range of the sensors via Bluetooth Low Energy technologies...
March 7, 2024: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://read.qxmd.com/read/38512155/postpartum-remote-blood-pressure-monitoring-using-a-mobile-app-in-women-with-a-hypertensive-disorder-of-pregnancy
#18
JOURNAL ARTICLE
Adriane Burgess, Taylor Deannuntis, Julia Wheeling
BACKGROUND: Hypertensive disorders of pregnancy affect approximately 15% of pregnancies in the United States and are a leading cause of postpartum readmissions. Morbidity due to hypertension may be higher in the first several weeks postpartum. The ability to monitor blood pressure and intervene in the postpartum period is critical to reducing morbidity and mortality. LOCAL PROBLEM: At WellSpan Health, hypertensive disorders were increasing and a leading cause of severe maternal morbidity and readmission...
March 21, 2024: MCN. the American Journal of Maternal Child Nursing
https://read.qxmd.com/read/38510948/a-randomized-controlled-trial-evaluating-a-theory-driven-complex-intervention-centered-on-task-sharing-and-mobile-health-to-improve-selfcare-and-outcomes-in-heart-failure-the-panacea-hf-rct-design-and-rationale
#19
JOURNAL ARTICLE
D Y Kamath, J Abdullakutty, B B Granger, S Kulkarni, K B Bhuvana, L J Salazar, S Shifra, J Idiculla, J Narendra, K Varghese, D Xavier
BACKGROUND: We developed a three-pronged complex intervention to improve selfcare and deliver whole person care for patients with heart failure, underpinned by the 'extant cycle' theory - a theory based on our formative work. METHODS: This is a 3 centre, 2-arm, 1:1, open, adaptive stratified, randomized controlled trial. We included patients aged ≥ 18 years with heart failure, taking any of the key guideline directed medical treatments, with a history of or currently on a high ceiling diuretic...
October 2023: American heart journal plus: cardiology research and practice
https://read.qxmd.com/read/38510223/evaluating-racial-disparities-in-implementation-and-monitoring-of-a-remote-blood-pressure-program-in-a-pregnant-population-a-retrospective-cohort-study
#20
JOURNAL ARTICLE
Elizabeth Howard, Veronica Gillispie-Bell, Susan Olet, Beth Glenn, Nariman Ammar, Eboni G Price-Haywood
Background: Whether remote blood pressure (BP) monitoring can decrease racial disparities in BP measurement during pregnancy and the postpartum period remains unclear. This study evaluated whether Black and White patients enrolled in the Connected Maternity Online Monitoring (CMOM) program showed improvements in BP ascertainment and interval. Methods: A retrospective cohort of 3,976 pregnant patients enrolled in CMOM were compared to matched usual care patients between January 2016 and September 2022 using electronic health record data...
2024: Ochsner Journal
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