Health Information Technology Commons^™

Physician Assistant Global Advancement Through The Use Of Medical Relief Organizations, Kara Crafts Pa-C, Sarah Mistrot Pa-C, Mary Henningsgaard Pa-C, Kaley Morris Pa-C, Tamarrah Oliver Pa-C, Kevin Tran Pa-C, Trevor Crafts Md

Journal of Nursing & Interprofessional Leadership in Quality & Safety

Objectives: The physician assistant (PA) model has been adopted by many nations to alleviate health care disparities. The objective of the project is to understand how medical relief organizations are utilizing physician assistants and contributing to the advancement of the career globally.

Methods: A search was conducted to create a list of all U.S. based medical relief organizations. An 18-question online survey was sent to 493 organizations that met inclusion criteria.

Results: Total response rate of the survey was 56.2%. 75.6% of organizations reported using PAs on their medical relief projects, and PAs were used in clinic/hospital/and operative settings.

Conclusions: …

Whole Slide Image Data Utilization Informed By Digital Diagnosis Patterns, Kimberly Ashman, Huimin Zhuge, Erin Shanley, Sharon Fox, Shams Halat, Andrew Sholl, Brian Summa, J. Quincy Brown

School of Medicine Faculty Publications

Context: Despite the benefits of digital pathology, data storage and management of digital whole slide images introduces new logistical and infrastructure challenges to traditionally analog pathology labs. Aims: Our goal was to analyze pathologist slide diagnosis patterns to determine the minimum number of pixels required during the diagnosis. Methods: We developed a method of using pathologist viewing patterns to vary digital image resolution across virtual slides, which we call variable resolution images. An additional pathologist reviewed the variable resolution images to determine if diagnoses could still be rendered. Results: Across all slides, the pathologists rarely zoomed in to the full …

Treating Cytokine Storm In Patients With Covid-19, Ahmed Abdelhaleem, Deekshitha Turaka, Shameera Shaik Masthan, Steven B Lippmann

The University of Louisville Journal of Respiratory Infections

No abstract provided.

Experience Of Telemedicine In Gastroenterology Out-Patient Practice During The Covid-19 Pandemic: Experiences From A Tertiary-Care Hospital In A Developing Country, Anjiya Shaikh, Maria Khan, Faisal Wasim Ismail

Department of Medicine

Objective: Telemedicine is being widely implemented in the COVID-19 pandemic to avoid infection risk. However, its effectiveness has not been evaluated, especially in developing countries, where it is invaluable for healthcare access. This study assesses physicians' and patients' perspectives of the usefulness and challenges of telemedicine in the gastroenterology department to identify its pitfalls.
Methods: A cross-sectional telephonic survey was conducted on patients presenting to the gastroenterology department at a tertiary care hospital in Pakistan. An online survey was sent to physicians in the department.
Results: A total of 160 patients participated, with a mean age 49.8 years, and 42.8% …

Perspectives On Telemedicine From A National Study Of Youth In The United States, Margaret Wasvary

Medical Student Research Symposium

Introduction: Telemedicine is increasingly popular with the recent surge in use due to the COVID-19 pandemic. Despite youth status as "tech natives," limited data are available on their perspectives on telemedicine. Our study seeks to understand youth telemedicine knowledge, prior experiences, preferences for use, and the impact of COVID-19 on these perspectives. Methods: Participants in MyVoice, a national text message cohort of U.S. youth age 14-24, were sent five open-ended questions in October 2019 and October 2020. A codebook was iteratively developed by using inductive analysis. Responses were independently coded by two investigators, with discrepancies resolved by discussion or a …

The Short-Term Effects Of Fine Airborne Particulate Matter And Climate On Covid-19 Disease Dynamics, El Hussain Shamsa, Kezhong Zhang

Medical Student Research Symposium

Background: Despite more than 60% of the United States population being fully vaccinated, COVID-19 cases continue to spike in a temporal pattern. These patterns in COVID-19 incidence and mortality may be linked to short-term changes in environmental factors.

Methods: Nationwide, county-wise measurements for COVID-19 cases and deaths, fine-airborne particulate matter (PM_2.5), and maximum temperature were obtained from March 20, 2020 to March 20, 2021. Multivariate Linear Regression was used to analyze the association between environmental factors and COVID-19 incidence and mortality rates in each season. Negative Binomial Regression was used to analyze daily fluctuations of COVID-19 cases …

Understanding The Efficacy Of Telehealth In Pediatric Occupational Therapy, Katheren Bettermann

University Honors Theses

In response to the COVID-19 pandemic, the American Occupational Therapy Association (AOTA) expanded telehealth, an electronic health care service, to virtually treat patients. Many occupational therapy and public health scholars are researching the effectiveness of telehealth for all age groups or for adults only. The purpose of this study is to understand the efficacy of telehealth as a pediatric occupational therapy modality and expose variables effecting treatment quality.

I created a survey in Qualtrics, a web-based software. The target population was pediatric occupational therapists (OTs) licensed in Oregon. Qualitative and quantitative questions addressed respondent qualifications, telehealth and pediatric occupational therapy …

Patient Portal Use And Patient Education Materials Access Among Mississippi Adult Residents, Anna K. Swann

Dissertations

Patient education plays a vital role in improving the health outcomes of patients with chronic diseases and helps prevent illness in otherwise healthy individuals. Patient portals allow patients to access their EHRs, communicate with their healthcare providers, and access patient education materials. Despite the potential for patient portals and education materials to improve health outcomes, many barriers prevent patients from utilizing them. Uneducated patients are more likely to participate in risky health behaviors, which leads to poor health outcomes. Poor health outcomes lead to higher medical costs. Mississippi has a high rate of chronic diseases. Suppose the barriers to patient …

Mobile Health Applications For Postpartum Depression Management: A Theory-Informed Analysis Of Change-Use-Engagement (Cue) Criteria In The Digital Environment, Amy Franklin, Sahiti Myneni

Faculty, Staff and Student Publications

Postpartum Depression (PPD) is the most common childbirth complication, with approximately 15% of postpartum women experiencing depression symptoms. Mobile applications have potential to expand delivery of mental health interventions. However, our understanding of how these tools engage women with PPD and facilitate positive behavioral changes is limited. In our paper, we analyze 15 commercial PPD applications to understand their role as facilitators of change, engagement, and sustained use. Applications reviewed contained an average of four theory-based behavioral change techniques, and highest patient engagement level reached was to empower patients through patient-generated data. Heuristic violations were identified in areas including user …

Patient Efficacy In Telehealth Is Moderated By Distress Among Patients With Cancer: A Cross-Sectional Survey Study, Joseph Mccollom Do, Rachel Pfafman, Michelle Drouin, Mindy Flanagan, Tammy Toscos Phd

PCI Publications and Projects

Low emotional distress and high confidence with tech impacts cancer patients’ choice of in person or telehealth visits.

Leveraging Context Patterns For Medical Entity Classification, Garrett Johnston

Computer Science Senior Theses

The ability of patients to understand health-related text is important for optimal health outcomes. A system that can automatically annotate medical entities could help patients better understand health-related text. Such a system would also accelerate manual data annotation for this low-resource domain as well as assist in down- stream medical NLP tasks such as finding textual similarity, identifying conflicting medical advice, and aspect-based sentiment analysis. In this work, we investigate a state-of-the-art entity set expansion model, BootstrapNet, for the task of medical entity classification on a new dataset of medical advice text. We also propose EP SBERT, a simple model …

Linking Online Vaccine Information Seeking To Vaccination Intention In The Context Of The Covid-19 Pandemic, Han Zheng, Shaohai Jiang, Sonny Rosenthal

Research Collection College of Integrative Studies

This study examines how online vaccine information seeking is related to vaccination intention in the United States and China during the initial stage of their coronavirus disease 2019 vaccination programs. Analysis of the pooled sample showed a positive relationship between online vaccine information seeking and vaccination intention. There was also a negative indirect effect via perceived information overload, vaccine risk perception, and negative affective response. Multigroup analysis revealed differences between the United States and China. This study highlights the bright and dark sides of online health information during a global pandemic and has practical implications for communication campaigns to promote …

Frequency Of Use And Preferences For Information And Communication Technologies In Patients With Sleep Apnea: A Multicenter, Multinational, Observational Cross-Sectional Survey Study, Veronica R. Jaritos, Emanuel Vanegas, Juan Facundo Nogueira, Sebastian Leiva Agüero, Vanina Giovini, Jorge Rey De Castro, Yadira Rodríguez Reyes, José Luis Carrillo Alduenda, Pammela Torres Gittaim, Zaira Romero, Azza Sarfraz

Department of Paediatrics and Child Health

Background: Obstructive sleep apnea (OSA) is a condition characterized by repeated episodes of partial or complete obstruction of the upper airway during sleep. An accessible method to facilitate self-management education is through information and communication technologies (ICTs).
Purpose: To assess the frequency of and preferences for ICT use in patients with sleep apnea.
Methods: A multicenter, multinational, observational cross-sectional survey study was conducted between 2018 and 2019 in sleep units in different countries of Latin America, including patients of both genders older than 18 years with a diagnosis of sleep apnea. Participants were asked to complete 20 questions in a …

Rhythmedge: Enabling Contactless Heart Rate Estimation On The Edge, Zahid Hasan, Emon Dey, Sreenivasan Ramasamy Ramamurthy, Nirmalya Roy, Archan Misra

Research Collection School Of Computing and Information Systems

The primary contribution of this paper is designing and prototyping a real-time edge computing system, RhythmEdge, that is capable of detecting changes in blood volume from facial videos (Remote Photoplethysmography; rPPG), enabling cardio-vascular health assessment instantly. The benefits of RhythmEdge include non-invasive measurement of cardiovascular activity, real-time system operation, inexpensive sensing components, and computing. RhythmEdge captures a short video of the skin using a camera and extracts rPPG features to estimate the Photoplethysmography (PPG) signal using a multi-task learning framework while offloading the edge computation. In addition, we intelligently apply a transfer learning approach to the multi-task learning framework to …

Codem: Conditional Domain Embeddings For Scalable Human Activity Recognition, Abu Zaher Md Faridee, Avijoy Chakma, Zahid Hasan, Nirmalya Roy, Archan Misra

Research Collection School Of Computing and Information Systems

We explore the effect of auxiliary labels in improving the classification accuracy of wearable sensor-based human activity recognition (HAR) systems, which are primarily trained with the supervision of the activity labels (e.g. running, walking, jumping). Supplemental meta-data are often available during the data collection process such as body positions of the wearable sensors, subjects' demographic information (e.g. gender, age), and the type of wearable used (e.g. smartphone, smart-watch). This information, while not directly related to the activity classification task, can nonetheless provide auxiliary supervision and has the potential to significantly improve the HAR accuracy by providing extra guidance on how …

Emerging Trends In Healthcare Driven By The Covid-19 Pandemic: A Review From Health Informatics Perspective., Venugopal Mudgundi, Bhargav Desai, Farhad Nasar

Advances in Clinical Medical Research and Healthcare Delivery

The COVID-19 pandemic is the first of its kind to hit the world in the modern information age. People working in healthcare across the globe have harnessed technological advances and modern digital tools in innovative new ways. This has brought specific, more recent trends in healthcare delivery to the forefront. In this review, we present a collection of articles that highlight some of the emerging trends in healthcare driven by the COVID-19 pandemic and that have the potential to transform healthcare in the coming decades. We provide a brief commentary on the opportunities and challenges for each trend.

Implementation Of A Tele-Triage Protocol In An Emergency Department Setting, Megan Tuetken, Sierra Hamlin, Sydney Spaulding

Doctor of Nursing Practice Projects

Nationwide, the volume of emergency department (ED) visits has steadily increased over the last several decades. This steady increase in volume frequently causes ED crowding and considerable delays in patient evaluation and treatment. Recently, teletriage has been used in emergency departments to evaluate less emergent patient needs while freeing up in-house providers to care for more critical patients. The goal of this DNP project was to develop a protocol for the utilization of teletriage in an Emergency Department in a level 1 trauma center in central Illinois using nurse practitioners to assess patients in the waiting room and order appropriate …

Challenging Case Of Pierre Robin Sequence, Pranjalee Verma

Digital Journal of Clinical Medicine

No abstract provided.

Skin Response: A Multidisciplinary Approach To Pressure Injury Prevention, Shannon E. Jagger Msn, Rn-Bc, Ne-Bc, Cpps, Deborah A. Saber Ph.D.. Rn, Ccrn-K, Patricia Poirier Ph.D., Rn

Journal of Nursing & Interprofessional Leadership in Quality & Safety

Hospital acquired pressure injuries (HAPIs) are listed as serious reportable events and classified as “never events.” Nevertheless, more than 2.5 million people develop HAPIs in the United States every year with 60,000 dying from associated complications. HAPI rates at the site of this quality improvement initiative were high and required intervention. As a result, the Skin Response (SR) initiative was developed to bring a multidisciplinary team to the bedside within 20 minutes of an identified skin concern. This team consisted of the bedside registered nurse (RN), RN leader, physician, facilitator, nutritionist, and wound RN. Through a team approach, SR assisted …

Covid-19 Case Complicated With Organizing Pneumonia And Pneumothorax: Correspondence, Hammad A. Bhatti, Minh Q. Ho

The University of Louisville Journal of Respiratory Infections

No abstract provided.

Effectiveness Of Educational Intervention On Infant And Young Child Feeding Practices Among Pregnant Women Attending Antenatal Clinics Of Urban Health Centers Of Mysore, Sanchi Aggarwal

Digital Journal of Clinical Medicine

Social, Physical & Psychological problems contribute for the low feeding rates in India. Apart from this the lack of adequate information, awareness among the women regarding breastfeeding needs to be addressed at the grass root level. Keeping these factors in mind the study was planned with the objective of finding out if educational intervention brings any significant difference in the knowledge and attitude of pregnant women towards breastfeeding practices attending antenatal clinics of urban health center at Mysore.

The Contribution Of Ethical Governance Of Artificial Intelligence & Machine Learning In Healthcare, Tina Nguyen

Electronic Theses and Dissertations

With the Internet Age and technology progressively advancing every year, the usage of Artificial Intelligence (AI) along with Machine Learning (ML) algorithms has only increased since its introduction to society. Specifically, in the healthcare field, AI/ML has proven to its end-users how beneficial its assistance has been. However, despite its effectiveness and efficiencies, AI/ML has also been under scrutiny due to its unethical outcomes. As a result of this, two polarizing views are typically debated when discussing AI/ML. One side believes that AI/ML usage should continue regardless of its unsureness, while the other side argues that this technology is too …

The Use Of Telehealth To Improve Patient Outcomes Among Prediabetes And Diabetic Patients In A Rural Women's Health Clinic: An Evidence-Based Practice Project, Alejandra Villegas

Doctor of Nursing Practice Final Manuscripts

Background: Type 2 diabetes mellitus (T2DM) is a global problem. Lack of healthcare access affects the low-income population and telehealth can aid the problem. For newly-diagnosed T2DM patients, customary practice is a 3-month follow-up after they are diagnosed. Patients only have education on diet and medication given by the healthcare provider at the time of appointment. Patients can be overwhelmed and confused to grasp the information. Telehealth has become mainstream due to the current COVID-19 pandemic and that is why it is the right time to use it to help T2DM patients further. Purpose of Project: The project's goal is …

The Technical Landscape For Patient-Centered Cds: Progress, Gaps, And Challenges, Shana F Sandberg, Priyanka J Desai, Edwin Lomotan, James Swiger, Michael I Harrison, Chris Dymek, Dean F Sittig, Aziz Boxwala

Faculty, Staff and Student Publications

Supporting healthcare decision-making that is patient-centered and evidence-based requires investments in the development of tools and techniques for dissemination of patient-centered outcomes research findings via methods such as clinical decision support (CDS). This article explores the technical landscape for patient-centered CDS (PC CDS) and the gaps in making PC CDS more shareable, standards-based, and publicly available, with the goal of improving patient care and clinical outcomes. This landscape assessment used: (1) a technical expert panel; (2) a literature review; and (3) interviews with 18 CDS stakeholders. We identified 7 salient technical considerations that span 5 phases of PC CDS development. …

"It's A Mess Sometimes": Patient Perspectives On Provider Responses To Healthcare Costs, And How Informatics Interventions Can Help Support Cost-Sensitive Care Decisions., Olivia K Richards, Bradley E Iott, Tammy Toscos, Jessica Pater, Shauna Wagner, Tiffany C Veinot

Health Services and Informatics Research

OBJECTIVE: We investigated patient experiences with medication- and test-related cost conversations with healthcare providers to identify their preferences for future informatics tools to facilitate cost-sensitive care decisions.

MATERIALS AND METHODS: We conducted 18 semistructured interviews with diverse patients (ages 24-81) in a Midwestern health system in the United States. We identified themes through 2 rounds of qualitative coding.

RESULTS: Patients believed their providers could help reduce medication-related costs but did not see how providers could influence test-related costs. Patients viewed cost conversations about medications as beneficial when providers could adjust medical recommendations or provide resources. However, cost conversations did not …

Evaluation Of Selected Computer Software For Concussion Recovery And Diagnosis, J.P. Jensen

Honors Program: Senior Projects (Public)

Acquired traumatic brain injuries, such as concussions, impact many athletes participating in sports, particularly at the high school, collegiate, and professional levels. The risks posed by concussions – particularly when an athlete suffers repeated injuries – demands that protocols and tools be developed to maximize athlete health and safety. Computer technology can perform critical roles in the analysis and management of concussions. While specialized devices in the areas of imaging and impact sensing, are most associated with concussion management, researchers within the last two decades have increasingly explored the incorporation of various consumer technologies into the identification and treatment of …

Increasing Incentive Spirometry Use In Patients With Sickle Cell Disease Admitted To Children’S Mercy Hospital, Thomas Cochran, Alexandra Prosser

Research Days

Background: Acute chest syndrome is one of the leading causes of morbidity and mortality in patients with sickle cell disease. The National Heart, Lung, and Blood Institute (NHLBI) provides specific recommendations for providing ten breaths of incentive spirometry (IS) every two hours while awake for patients with sickle cell disease to help prevent development of acute chest syndrome.

Problem Statement: We reviewed provision of incentive spirometry at Children’s Mercy between 08/01/2021 and 11/01/2021. Data was collected and the target population was identified via a report generated from the electronic medical records with specific criteria. Of those patients admitted with sickle …

Covid-19, Vaccination, And Heart Transplantation, Forest W. Arnold

The University of Louisville Journal of Respiratory Infections

No abstract provided.

Telemedicine And Adhd Management In Pediatric Patients In Southern New Jersey: A Retrospective Chart Review, Ami S. Patel, Alison Mancuso

Rowan-Virtua Research Day

Objectives:

• Investigate whether there is a relationship between use of telemedicine and improvement of symptoms of pediatric patients with ADHD
• To see if further study can be done on the use of telemedicine in treating pediatric ADHD patients

Preferences For Support Resources Among Loved Ones Of Adults Prescribed Opioid Medications, Mansi Patel, Desta M. Pulley, Daniel Manvich

Rowan-Virtua Research Day

The opioid epidemic continues to be a leading cause of overdose and related deaths in America. While most interventions are focused on the individuals with opioid and substance use disorder (OUD/SUD); the impact caregivers and family can have on the treatment of patients with OUD is non-existent. The purpose of this study is to collect pilot data on peers, friends, and family members of patients with SUD/OUD to understand the barriers in psychosocial support and maintaining treatment retention; barriers to accessing medication assisted therapy (MAT) and naloxone; and caregiver fatigue and barriers for caregivers. The collected data will be used …