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https://www.readbyqxmd.com/read/28807977/can-secure-patient-provider-messaging-improve-diabetes-care
#1
Sukyung Chung, Laura Panattoni, Jeffrey Chi, Latha Palaniappan
OBJECTIVE: Internet-based secure messaging between patients and providers through a patient portal is now common in the practice of modern medicine. There is limited evidence on how messaging is associated with use and clinical quality measures among patients with type 2 diabetes. We examine whether messaging with physicians for medical advice is associated with fewer face-to-face visits and better diabetes management. RESEARCH DESIGN AND METHODS: Patients with diabetes who were enrolled in an online portal of an outpatient health care organization in 2011-2014 were studied (N = 37,762 patient-years)...
August 14, 2017: Diabetes Care
https://www.readbyqxmd.com/read/28795584/use-of-an-android-phone-application-for-automated-text-messages-in-international-settings-a-case-study-in-an-hiv-clinical-trial-in-st-petersburg-russia
#2
Leah S Forman, Gregory J Patts, Sharon M Coleman, Elena Blokhina, John Lu, Tatiana Yaroslavtseva, Natalia Gnatienko, Evgeny Krupitsky, Jeffrey H Samet, Christine E Chaisson
BACKGROUND/AIMS: Reproducible outcomes in clinical trials depend on adherence to study protocol. Short message service (also known as text message) reminders have been shown to improve clinical trial adherence in the United States and elsewhere. However, due to systematic differences in mobile data plans, languages, and technology, these systems are not easily translated to international settings. METHODS: To gauge technical capabilities for international projects, we developed SMSMessenger, an automated Android application that uses a US server to send medication reminders to participants in a clinical trial in St...
August 1, 2017: Clinical Trials: Journal of the Society for Clinical Trials
https://www.readbyqxmd.com/read/28765865/long-term-patterns-of-patient-portal-use-for-pediatric-patients-at-an-academic-medical-center
#3
Bryan Steitz, Robert M Cronin, Sharon E Davis, Ellen Yan, Gretchen P Jackson
BACKGROUND: Patient portal adoption has increased over the last two decades. Most research about patient portals has focused on adult populations in the primary care and medical specialty settings. OBJECTIVE: We describe initial and long-term portal use by pediatric patients and their caregivers in a broadly deployed patient portal at an academic medical center. METHODS: We analyzed portal usage for pediatric patients and their caregivers from 2008 to 2014...
August 2, 2017: Applied Clinical Informatics
https://www.readbyqxmd.com/read/28759615/enhanced-smartcard-based-password-authenticated-key-agreement-using-extended-chaotic-maps
#4
Tian-Fu Lee, Chia-Hung Hsiao, Shi-Han Hwang, Tsung-Hung Lin
A smartcard based password-authenticated key agreement scheme enables a legal user to log in to a remote authentication server and access remote services through public networks using a weak password and a smart card. Lin recently presented an improved chaotic maps-based password-authenticated key agreement scheme that used smartcards to eliminate the weaknesses of the scheme of Guo and Chang, which does not provide strong user anonymity and violates session key security. However, the improved scheme of Lin does not exhibit the freshness property and the validity of messages so it still fails to withstand denial-of-service and privileged-insider attacks...
2017: PloS One
https://www.readbyqxmd.com/read/28755926/sliding-mode-control-for-generalized-robust-synchronization-of-mismatched-fractional-order-dynamical-systems-and-its-application-to-secure-transmission-of-voice-messages
#5
P Muthukumar, P Balasubramaniam, K Ratnavelu
This paper proposes a generalized robust synchronization method for different dimensional fractional order dynamical systems with mismatched fractional derivatives in the presence of function uncertainty and external disturbance by a designing sliding mode controller. Based on the proposed theory of generalized robust synchronization criterion, a novel audio cryptosystem is proposed for sending or sharing voice messages secretly via insecure channel. Numerical examples are given to verify the potency of the proposed theories...
July 26, 2017: ISA Transactions
https://www.readbyqxmd.com/read/28750915/the-informatics-capability-maturity-of-integrated-primary-care-centres-in-australia
#6
Siaw-Teng Liaw, Rachael Kearns, Jane Taggart, Oliver Frank, Riki Lane, Michael Tam, Sarah Dennis, Christine Walker, Grant Russell, Mark Harris
CONTEXT: Integrated primary care requires systems and service integration along with financial incentives to promote downward substitution to a single entry point to care. Integrated Primary Care Centres (IPCCs) aim to improve integration by co-location of health services. The Informatics Capability Maturity (ICM) describes how well health organisations collect, manage and share information; manage eHealth technology, implementation, change, data quality and governance; and use "intelligence" to improve care...
September 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/28750904/a-comparison-of-rule-based-and-machine-learning-approaches-for-classifying-patient-portal-messages
#7
Robert M Cronin, Daniel Fabbri, Joshua C Denny, S Trent Rosenbloom, Gretchen Purcell Jackson
OBJECTIVE: Secure messaging through patient portals is an increasingly popular way that consumers interact with healthcare providers. The increasing burden of secure messaging can affect clinic staffing and workflows. Manual management of portal messages is costly and time consuming. Automated classification of portal messages could potentially expedite message triage and delivery of care. MATERIALS AND METHODS: We developed automated patient portal message classifiers with rule-based and machine learning techniques using bag of words and natural language processing (NLP) approaches...
September 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/28736732/a-systematic-review-of-studies-of-web-portals-for-patients-with-diabetes-mellitus
#8
REVIEW
Steven S Coughlin, Lovoria B Williams, Christos Hatzigeorgiou
Patient web portals are password-protected online websites that offer patients 24-hour access to personal health information from anywhere with an Internet connection. Due to advances in health information technologies, there has been increasing interest among providers and researchers in patient web portals for use by patients with diabetes and other chronic conditions. This article, which is based upon bibliographic searches in PubMed, reviews web portals for patients with diabetes mellitus including patient web portals tethered to electronic medical records and web portals developed specifically for patients with diabetes...
2017: MHealth
https://www.readbyqxmd.com/read/28733249/dna-based-random-key-generation-and-management-for-otp-encryption
#9
Yunpeng Zhang, Xin Liu, Manhui Sun
One-time pad (OTP) is a principle of key generation applied to the stream ciphering method which offers total privacy. The OTP encryption scheme has proved to be unbreakable in theory, but difficult to realize in practical applications. Because OTP encryption specially requires the absolute randomness of the key, its development has suffered from dense constraints. DNA cryptography is a new and promising technology in the field of information security. DNA chromosomes storing capabilities can be used as one-time pad structures with pseudo-random number generation and indexing in order to encrypt the plaintext messages...
July 18, 2017: Bio Systems
https://www.readbyqxmd.com/read/28725452/mapmysmoke-feasibility-of-a-new-quit-cigarette-smoking-mobile-phone-application-using-integrated-geo-positioning-technology-and-motivational-messaging-within-a-primary-care-setting
#10
Robert S Schick, Thomas W Kelsey, John Marston, Kay Samson, Gerald W Humphris
BACKGROUND: Approximately 11,000 people die in Scotland each year as a result of smoking-related causes. Quitting smoking is relatively easy; maintaining a quit attempt is a very difficult task with success rates for unaided quit attempts stubbornly remaining in the single digits. Pharmaceutical treatment can improve these rates by lowering the overall reward factor of nicotine. However, these and related nicotine replacement therapies do not operate on, or address, the spatial and contextual aspects of smoking behaviour...
2018: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/28701849/blunt-trauma-neck-with-complete-tracheal-transection-a-diagnostic-and-therapeutic-challenge-to-the-trauma-team
#11
K N J Prakash Raju, D Anandhi, R Surendar, Ashwith Shetty, Vinay R Pandit
Survival following trachea-esophageal transection is uncommon. Establishing a secure airway has the highest priority in trauma management. Airway management is a unique and a defining element to the specialty of emergency medicine. There is no doubt regarding the significance of establishing a patent airway in the critically ill patient in the emergency department. Cannot intubate and cannot ventilate situation is a nightmare to all emergency physicians. The most important take-home message from this case report is that every Emergency physician should have the ability to predict "difficult airway" and recognize "failed airway" very early and be skilled in performing rescue techniques when routine oral-tracheal intubation fails...
June 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28699941/hospital-based-clinicians-use-of-technology-for-patient-care-related-communication-a-national-survey
#12
Kevin O'Leary, David Liebovitz, Robert Wu, Ksheeraja Ravi, Claire Knoten, Mengxin Sun, Ashley Walker, Madhu Reddy
OBJECTIVE: To characterize current use of communication technologies, including standard text messaging and secure mobile messaging applications, for patient care-related (PCR) communication. METHODS: We used a Society of Hospital Medicine database to conduct a national cross-sectional survey of hospital-based clinicians. RESULTS: We analyzed data from 620 survey respondents (adjusted response rate, 11.0%). Pagers were provided by hospitals to 495 (79...
July 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28687292/mixed-messages-an-evaluation-of-nhs-trust-social-media-policies-in-the-north-west-of-england
#13
B Scragg, S Shaikh, L Robinson, C Mercer
INTRODUCTION: Despite National Health Service (NHS) information strategy promoting the use of Social Media (SoMe) to encourage greater engagement between service users and providers, a team investigating online SoMe interaction between breast screening practitioners and clients found that practitioners alleged discouragement from employers' policies. This study aimed to investigate whether this barrier was genuine, and illuminate whether local policy differed from national strategy. METHOD: The study used a qualitative grounded theory approach to generate a theory...
August 2017: Radiography
https://www.readbyqxmd.com/read/28676467/the-rules-of-engagement-perspectives-on-secure-messaging-from-experienced-ambulatory-patient-portal-users
#14
Cynthia J Sieck, Jennifer L Hefner, Jeanette Schnierle, Hannah Florian, Aradhna Agarwal, Kristen Rundell, Ann Scheck McAlearney
BACKGROUND: Patient portals have shown promise in engaging individuals in self-management of chronic conditions by allowing patients to input and track health information and exchange secure electronic messages with their providers. Past studies have identified patient barriers to portal use including usability issues, low health literacy, and concerns about loss of personal contact as well as provider concerns such as increased time spent responding to messages. However, to date, studies of both patient and provider perspectives on portal use have focused on the pre-implementation or initial implementation phases and do not consider how these issues may change as patients and providers gain greater experience with portals...
July 4, 2017: JMIR Medical Informatics
https://www.readbyqxmd.com/read/28670503/aware-motivated-and-striving-for-a-safe-tan-an-exploratory-mixed-method-study-of-sun-protection-during-holidays
#15
Angela M Rodrigues, Falko F Sniehotta, Mark A Birch-Machin, Vera Araujo-Soares
Background: This article presents an exploratory study, aiming to explore the correspondence between knowledge, motivation and sun-protection practices during holidays. Methods: Seventeen participants aged 21-62 years old, recruited from community settings took part in individual face-to-face semi-structured interviews, completed sun sensitivity questions and an objective assessment of sunscreen use. Holidaymakers' knowledge about sun-safe messages, intentions and perceptions of barriers and facilitators for sun-protection were assessed...
2017: Health Psychology and Behavioral Medicine
https://www.readbyqxmd.com/read/28651602/rapid-sociometric-mapping-of-community-health-workers-to-identify-opinion-leaders-using-an-sms-platform-a-short-report
#16
Thomas A Odeny, Maya Petersen, Charles T Muga, Jayne Lewis-Kulzer, Elizabeth A Bukusi, Elvin H Geng
BACKGROUND: Using opinion leaders to accelerate the dissemination of evidence-based public health practices is a promising strategy for closing the gap between evidence and practice. Network interventions (using social network data to accelerate behavior change or improve organizational performance) are a promising but under-explored strategy. We aimed to use mobile phone technology to rapidly and inexpensively map a social network and identify opinion leaders among community health workers in a large HIV program in western Kenya...
June 26, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28639313/change-in-attachment-states-of-mind-of-women-with-binge-eating-disorder
#17
Hilary Maxwell, Giorgio A Tasca, Renee Grenon, Kerri Ritchie, Hany Bissada, Louise Balfour
Insecure and unresolved/disorganized attachment states of mind may impact affect regulation and interpersonal functioning that contribute to binge eating in women with binge-eating disorder (BED). Group psychological treatment may facilitate changes from insecure to secure and from unresolved-disorganized to non-unresolved/disorganized attachment states of mind. This study used attachment theory to understand better the psychopathology of BED and co-morbid overweight status and to understand better the treatment response of patients with BED who receive group psychotherapy...
June 21, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28621985/quantum-secure-direct-communication-with-quantum-memory
#18
Wei Zhang, Dong-Sheng Ding, Yu-Bo Sheng, Lan Zhou, Bao-Sen Shi, Guang-Can Guo
Quantum communication provides an absolute security advantage, and it has been widely developed over the past 30 years. As an important branch of quantum communication, quantum secure direct communication (QSDC) promotes high security and instantaneousness in communication through directly transmitting messages over a quantum channel. The full implementation of a quantum protocol always requires the ability to control the transfer of a message effectively in the time domain; thus, it is essential to combine QSDC with quantum memory to accomplish the communication task...
June 2, 2017: Physical Review Letters
https://www.readbyqxmd.com/read/28607475/experimental-demonstration-of-quantum-digital-signatures-over-43%C3%A2-db-channel-loss-using-differential-phase-shift-quantum-key-distribution
#19
Robert J Collins, Ryan Amiri, Mikio Fujiwara, Toshimori Honjo, Kaoru Shimizu, Kiyoshi Tamaki, Masahiro Takeoka, Masahide Sasaki, Erika Andersson, Gerald S Buller
Ensuring the integrity and transferability of digital messages is an important challenge in modern communications. Although purely mathematical approaches exist, they usually rely on the computational complexity of certain functions, in which case there is no guarantee of long-term security. Alternatively, quantum digital signatures offer security guaranteed by the physical laws of quantum mechanics. Prior experimental demonstrations of quantum digital signatures in optical fiber have typically been limited to operation over short distances and/or operated in a laboratory environment...
June 12, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28601252/building-academic-military-research-collaborations-to-improve-the-health-of-service-members
#20
Stephen H A Hernandez, Brenda J Morgan, Belinda F Hernandez, Mark B Parshall
BACKGROUND: Academic-military research collaborations are desirable for many reasons; however, little guidance in the literature exists to help researchers understand collaboration requirements. PURPOSE: To describe the process for establishing academic-military research collaborations. METHOD: Specific collaboration requirements researchers must be aware of are outlined, two case studies are provided, and opportunities for and challenges with collaborations are discussed...
May 12, 2017: Nursing Outlook
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