Health Information Technology Commons^™

Public Goods From Private Data: An Effectiveness And Justification Dilemma For Digital Contact Tracing, Andrew Buzzell

The Journal of Sociotechnical Critique

Debate about the adoption of digital contact tracing (DCT) apps to control the spread of COVID-19 has focussed on risks to individual privacy. This emphasis reveals significant challenges to ethical deployment of DCT, but generates constraints which undermine justification to implement DCT. It would be a mistake to view this result solely as the successful operation of ethical foresight analysis, preventing deployment of potentially harmful technology. Privacy-centric analysis treats data as private property, frames the relationship between individuals and governments as adversarial, entrenches technology platforms as gatekeepers, and supports a conception of emergency public health authority as limited by individual …

Retention Of Physician Assistants Within A Specialty After Completion Of A Postgraduate Training Program, John Ansiaux Pa-C, Carly Farrell Pa-C, Kathryn Hess Pa-C, Aubrey White Pa-C, Charlotte Peeters Pa-C, Jill Schulten Pa-C, Ryan Krasnosky Mpas, Pa-C, Dfaapa, Drph

Journal of Nursing & Interprofessional Leadership in Quality & Safety

Background: The advantages of a specialized training program have led to over 84 postgraduate training programs for Physician Assistants (PAs) covering over 25 specialties. Employee lateral mobility is more prevalent within the PA profession, which allows PA providers to switch between medical specialties. The versatility of PAs promotes higher turnover rates compared to physician counterparts. These high turnover rates can result in increased institutional burden. Postgraduate PA programs provide pre-employment exposure to more in-depth medical training, enabling a well-rounded knowledge base of the PA’s roles and responsibilities, minimizing turnover rates.

Purpose: The goal of this survey study is to identify …

Barriers, Access And Management Of Paediatric Epilepsy With Telehealth., Kari Gali, Sucheta Joshi, Sarah Hueneke, Alexis Katzenbach, Linda Radecki, Trisha Calabrese, Linda Fletcher, Cristina Trandafir, Carey Wilson, Monisha Goyal, Courtney J. Wusthoff, Jean-Baptist Lepichon, Rhonda Corvalan, April Golson, Jessica Hardy, Michael Smith, Elizabeth Cook, Joshua L. Bonkowsky

Manuscripts, Articles, Book Chapters and Other Papers

Access to paediatric neurology care is complex, resulting in significant wait times and negative patient outcomes. The goal of the American Academy of Pediatrics National Coordinating Center for Epilepsy's project, Access Improvement and Management of Epilepsy with Telehealth (AIM-ET), was to identify access and management challenges in the deployment of telehealth technology. AIM-ET organised four paediatric neurology teams to partner with primary-care providers (PCP) and their multidisciplinary teams. Telehealth visits were conducted for paediatric epilepsy patients. A post-visit survey assessed access and satisfaction with the telehealth visit compared to an in-person visit. Pre/post surveys completed by PCPs and neurologists captured …

J Mich Dent Assoc April 2022

The Journal of the Michigan Dental Association

Monthly, The Journal of the Michigan Dental Association brings news, information, and feature articles to our state's oral health community and the MDA's 6,200+ members. No publication reaches more Michigan dentists!

In this April 2022 issue, the reader will find the following original content:

• A cover feature “Protect Your Patients and Yourself: The Complete and Honest Medical History”
• A feature article “The Foundation for Dental Care: The Patient Interview and Dental/Medical Health History”
• A 10-Minute EBD “The Preferred Analgesia for Orthodontic Tooth Movement: Acetaminophen or NSAIDs?”
• News you need: an Editorial, a "Reminder about Antitrust Law", and regular department articles, …

Evaluation, Validation & Implementation Of A Computerized Diagnostic Decision Support System In Primary Practice, Joe Bridges

Translational Projects (Open Access)

Background: Medical diagnosis may be the most complex task attempted by humans. Studies estimate that 95% of diagnoses in outpatient care are accurate, implying that the annual rate of inaccurate diagnoses is 12 million in the US alone, with the potential for patient harm in about half. A well-researched differential might reduce inaccurate diagnoses by offering alternatives matching the patient’s symptoms. This study searched the literature for articles evaluating the diagnostic performance of commercially available computerized diagnostic decision support systems. This search led to selecting Isabel Pro, developed by Isabel Healthcare, Ltd. of Haslemere, UK.

Evaluation and Validation: …

April 2022, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

Join Bulldog Wellness in supporting National Minority Health Month 2022!

April is National Minority Health Month (NMHM). This year, Bulldog Wellness is joining the HHS Office of Minority Health (OMH) to highlight the important role individuals can play in their communities to help reduce health disparities and improve the health of racial and ethnic minorities and American Indian/Alaska Natives.

Health Informatics Interventions To Minimize Out-Of-Pocket Medication Costs For Patients: What Providers Want., Karalyn A Kiessling, Bradley E Iott, Jessica Pater, Tammy Toscos, Shauna Wagner, Laura M Gottlieb, Tiffany C Veinot

Health Services and Informatics Research

OBJECTIVE: To explore diverse provider perspectives on: strategies for addressing patient medication cost barriers; patient medication cost information gaps; current medication cost-related informatics tools; and design features for future tool development.

MATERIALS AND METHODS: We conducted 38 semistructured interviews with providers (physicians, nurses, pharmacists, social workers, and administrators) in a Midwestern health system in the United States. We used 3 rounds of qualitative coding to identify themes.

RESULTS: Providers lacked access to information about: patients' ability to pay for medications; true costs of full medication regimens; and cost impacts of patient insurance changes. Some providers said that while existing cost-related …

Emergency Airway Management In Covid-19 Patients And Risk To Healthcare Workers: A Low-Middle Income Country Data From The Intubate Covid Registry, Faisal Shamim, M Nazir, Naseem A. Sheikh, Asma Salam, Badar Afzal Khan

Department of Anaesthesia

No abstract provided.

Virtual Meetings During Covid-19 Pandemic: Is It Time To Say Goodbye To Physical Meetings?, Maseeh Uz Zaman, Nosheen Fatima

Department of Radiology

Abstract are not provided by the author/publisher

Quantifying The Effect Of Monitor Wear Time And Monitor Type On The Estimate Of Sedentary Time In People With Copd: Systematic Review And Meta-Analysis, Fiona Coll, Vinicius Cavalheri, Daniel F. Gucciardi, Sheldon Wulff, Kylie Hill

Research outputs 2022 to 2026

In studies that have reported device-based measures of sedentary time (ST) in people with chronic obstructive pulmonary disease (COPD), we explored if the monitor type and monitor wear time moderated the estimate of this measure. Five electronic databases were searched in January 2021. Studies were included if >70% of participants had stable COPD, and measures of ST (min/day) were collected using wearable technology. Meta-regression was used to examine the influence of moderators on ST, monitor type, and wear time. The studies identified were a total of 1153, and 36 had usable data for meta-analyses. The overall pooled estimate of ST …

Physiotherapists’ Perspectives On The Use Of Telehealth For Service Delivery To Children With Developmental Delays: A Qualitative Focus Group Study, Claire M. Grant, Anne Jones, Helen Land

Internet Journal of Allied Health Sciences and Practice

Purpose: The purposes of the study are to (1) determine what barriers and facilitators physiotherapists perceive to using telehealth, (2) to determine willingness to use and (3) to determine perspectives on training in the use of telehealth. Method: This is a qualitative semi structured interview and focus group design. Participants were recruited from the first stage of the larger research process using purposive sampling. A semi structured guide was used to facilitate discussion of shared experiences and to allow themes to emerge from the discussion. Results: Thematic analysis was used to synthesise frequent and important themes. Ten participants took part …

Determinant Factors Of Quality And Life Satisfaction Of The Older People, Etty Rekawati, Junaiti Sahar, Dwi Nuviyandari Kusumawati, Arief Andriyanto

Jurnal Keperawatan Indonesia

Older people’s health care is carried out by involving the family as a support group. If done optimally, the support pro- vided will help maintain the health of older people. The purpose of the study was to analyze the determinant factors (family support and burden) on the quality and satisfaction of life the older people. This descriptive correlational research was the second stage of previous research related to the identification of caregivers' burden when caring for older people. A sample of 104 respondents was taken through simple random sampling. The results showed that the family support and family burden affected …

Heart Failure In Lebanon: A Review Of The Literature, Hiba Deek, Angela Massouh, Patricia M. Davidson

Jurnal Keperawatan Indonesia

This research aimed to provide a comprehensive overview of the current literature on heart failure (HF) management in Lebanon and identify the implications for policy, practice, education, and research. The design of this research was a systematic review following preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Databases were searched using the search terms “heart failure” and “Lebanon” and associated MeSH terms. The abstracts of the selected articles were examined independently by two researchers; the sample characteristics, HF indices, and results of the included studies were extracted. Key findings and trends were synthesized. Eleven papers were reviewed with …

Voices Of Indonesian Manufacturing Workers In Rotating Shift Systems, Henny Permatasari, Junaiti Sahar, Muchtarrudin Mansyur, Astrid Widayati Hardjono

Jurnal Keperawatan Indonesia

The factors associated with changes in work patterns and working hours due to rotating shifts have an effect on the increased risk of health problems in workers. Manufacturing industry workers, specifically those on rotating shift sched- ules, are at a high risk of various health problems, such as cardiovascular diseases, circadian rhythm problems, social life problems, and stress. These health problems may be worsened by poor lifestyle habits, such as smoking, unhealthy diet, and infrequent physical activity. This research aimed to explore the experience of 12 manufacturing workers on rotating shift schedules in Greater Jakarta, Indonesia. Through a phenomenological approach, …

Nursing Documentation In Accredited Hospital, Retno Purwandari, Dicky Edrian Kurniawan, Siti Kusnul Kotimah

Jurnal Keperawatan Indonesia

Nursing documentation is assessed in hospital accreditation because it includes the actions taken and the quality of provided care. Hospital accreditation undergoes three phases consist of preparation, implementation, and post-accreditation. In the post-accreditation phase, there is reduced compliance of workers and nurses. This study determines the quality of nursing documentation at the fully accredited hospital by using descriptive and quantitative research with a retrospective approach. A simple random sampling method is used to attain 292 documents. Data are collected using the Evaluation of Nursing Care Instrument by the Ministry of Health Republic of Indonesia. Results show that nursing documentation has …

Future Anxiety And Immune Status In Nursing Students During The Coronavirus Disease-2019 Pandemic, Agus Purnama, Isti Anindya

Jurnal Keperawatan Indonesia

Coronavirus Disease-2019 (COVID-19) is a frightening global disease, especially because of its high contagiousness. This study aimed to identify the future anxiety regarding immunity status in nursing students who work in hospitals, especially those caring for patients with COVID-19. This study design was cross-sectional with standard translated instruments of the Future Anxiety Scale and Immune Status Questionnaire administered using a Google Form to 102 respondents. Results revealed that among the respondents, 87 experienced severe psychological anxiety (85.3%), 46 experienced moderate social anxiety (45.1%), 42 experienced moderate economic anxiety (41.2%), 38 experienced mild media anxiety (37.3%), 53 experienced mild religious anxiety …

Implementation Of Home Care Services By Community Health Centers (Puskesmas) In Makassar City, Indonesia, Kusrini Semarwati Kadar, Fitrah Ardillah, Arnis Puspitha, Erfina Erfina

Jurnal Keperawatan Indonesia

Home care services by health professionals, such as doctors, nurses, and other health care professionals, target to provide health care services, including health education, physical examination, or other treatments such as physical therapy or medication. This study aimed to evaluate the implementation of home care (nursing care and home care services) in Makassar City in accordance with government guidelines. A qualitative descriptive study was conducted by interviewing nurses (15 participants) from several community health centers (Puskesmas) in Makassar City, Indonesia who have implemented a home care program for at least a year. Four main themes had emerged, namely, management of …

Intermediate Anticoagulation Dosing In Covid-19 Icu Patients: Evaluation Comparing Ventilated Vs Non-Ventilated Populations, Christopher Michael D'Amico

Applied Research Projects

Surges of COVID-19 have been seen to place large numbers of patients into the ICU. Establishing standards of care is critical not only for patient care, but to also implement a baseline of therapy to build upon with future research. COVID-19 produces a hypercoagulable state resulting in higher occurrences of clotting such as deep vein thrombosis (DVT), and pulmonary embolism (PE). Anticoagulation medications thin the blood to combat this aspect of the disease from occurring but does so at the risk of increasing bleeding potential. The purpose of this study is to evaluate the risk/benefit of anticoagulation usage between ventilated …

Barriers And Enablers For Older Adults Participating In A Home-Based Pragmatic Exercise Program Delivered And Monitored By Amazon Alexa: A Qualitative Study, Paul Jansons, Jackson Fyfe, Jack Dalla Via, Robin M. Daly, Eugene Gvozdenko, David Scott

Research outputs 2022 to 2026

Background: The remote delivery and monitoring of individually-tailored exercise programs using voice-controlled intelligent personal assistants (VIPAs) that support conversation-based interactions may be an acceptable alternative model of digital health delivery for older adults. The aim of this study was to evaluate the enablers and barriers for older adults participating in a home-based exercise program delivered and monitored by VIPAs. Method: This qualitative study used videoconferencing to conduct semi-structured interviews following a 12-week, prospective single-arm pilot study in 15 adults aged 60 to 89 years living alone in the community. All participants were prescribed an individualized, brief (10 min, 2–4 times …

Survey Analysis Of Overall Job Satisfaction Of Physician Assistants, Clare Lookian Pa-C, Claire Keaton Pa-C, Kasey Keane Pa-C, Erin Schulte Pa-C, Abby Atchley Pa-C, Edwin Welsh Pa-C, Devon Gersh Pa-C, Jack Carter Pa-C, Ryan Krasnosky Mpas, Pa-C, Dfaapa, Drph

Journal of Nursing & Interprofessional Leadership in Quality & Safety

Background: Over the last three decades, the physician assistant (PA) profession has seen an increase in the number of women in the profession, a decline in the age of new PA graduates, a movement toward specialty practice, and an exponential growth in the workforce as a whole. Historically, surveys reveal the majority of PAs are satisfied with their career choice and current job. Although a majority of PAs report high job satisfaction, career burnout is still significant within the profession. Career burnout among health care providers continues to rise due to the strains of the US healthcare system, growing patient …

Hubungan Aktivitas Fisik Dengan Diabetes Melitus Pada Wanita Usia 20-25 Di Dki Jakarta (Analisis Data Posbindu Ptm 2019), Nurrahma Fitria Ramadhani, Kemal N. Siregar, Verry Adrian, Intan Rachmita Sari, Hardya Gustada Hikmahrachim

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Diabetes melitus adalah penyakit kronis yang terjadi karena kelainan sekresi insulin, kerja insulin atau keduanya. Diabetes melitus masih menjadi masalah di seluruh dunia terutama di negara berkembang. Tujuan penelitian ini untuk melihat hubungan aktivitas fisik dengan diabetes melitus pada wanita usia 20-25 tahun. Penelitian ini menggunakan data Posbindu DKI Jakarta tahun 2019 dengan desain potong lintang yang melibatkan 1479 subjek wanita usia 20-25 tahun yang berkunjung ke Posbindu. Dilakukan analisis statistik univariat, bivariat chi square (CI: 95%) untuk melihat hubungan aktivitas fisik dan diabetes melitus, serta analisis multivariat regresi logistik untuk melihat hubungan aktivitas fisik dan diabetes melitus setelah di …

Identifikasi Atribut Dengan Principal Component Analysis Dan K-Means Clustering Sebagai Dasar Penyusunan Strategi Promosi Kb Pria Di Indonesia, Titis Risti Yulianti, Kemal N. Siregar, Artha Prabawa

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Penggunaan kontrasepsi pria sangat rendah dibandingkan wanita di Indonesia, serta terdapat gap cukup jauh antara penggunaan kontrasepsi pria di Indonesia dengan beberapa negara di Asia. Penelitian ini bertujuan untuk menentukan strategi promosi KB pria di Indonesia. Analisis data dilakukan dengan metode Principal Component Analysis (PCA) dan k-means clustering menggunakan 4.453 responden SDKI 2017 mengenai penggunaan KB pria dengan 14 atribut. Hasil penelitian berdasarkan PCA didapatkan 5 principal component, kemudian hasil k-means clustering didapatkan 2 cluster meliputi cluster 1 dan cluster 2. Cluster 1 meliputi 411 pria kawin dengan penggunaan KB pria yang baik dan menduduki sebagian kecil provinsi di …

Pengklasteran Kepatuhan Konsumsi Tablet Tambah Darah Pada Wanita Usia Subur Menggunakan Metode Principal Component Analysis Dan K-Means, Hasnia Jondu, Kemal N. Siregar, Artha Prabawa, Nurul Fadhilah

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Anemia pada ibu hamil adalah kondisi di mana kadar Hb < 11 gr/dL. Prevalensi anemia di Indonesia cukup tinggi yaitu sebesar 44%. Target penurunan anemia dapat dicapai melalui program suplementasi zat besi dan asam folat (program IFAS). Indonesia telah sejak 1975 merekomendasikan ibu hamil minum satu tablet IFA selama kehamilan minimal 90 hari hingga 42 hari pasca melahirkan. Hasil Riskesdas 2018, Ibu hamil yang mengonsumsi TTD ≥90 butir adalah sebesar 38,1%, sedangkan data mining.Penelitian ini memadukan metode PCA dan K-Means. Peneliti menggunakan data SDKI Wanita Usia Subur 2017. Data terdiri dari 8 atribut dan 12262 record. Hasil penelitian ini yaitu hasil final cluster metode PCA menghasilkan faktor 1 (Pendidikan, Status Ekonomi, dan Tempat Tinggal), faktor 2 (Konsumsi TTD dan Kunjungan ANC), faktor 3 (Pemeriksa Hamil: Non-Nakes). Hasil metode K-Means terbentuk dua klaster dan ketiga atribut baru terdapat signifikansi.

Evaluasi Pengelolaan Data Dan Informasi Program Vaksinasi Covid-19 (Corona Virus Disease 19) Di Wilayah Lampung Tahun 2021, Regina Valya Puspita Araytri, Milla Herdayati

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Pengelolaan data dan informasi pada program vaksinasi merupakan suatu hal penting yang harus diperhatikan pelaksanaannya. Hal ini dikarenakan proses pencatatan dan pelaporan data pada yang dilaksanakan pada program vaksinasi dapat menunjang percepatan vaksinasi di Indonesia karena dapat mengetahui cakupan vaksinasi yang telah terlaksana. Penelitian ini bertujuan untuk mengamati pengelolaan data dan informasi seputar program vaksinasi COVID-19 (Corona Virus Disease 2019) di wilayah Lampung. Penelitian ini merupakan penelitian ini merupakan penelitian deskriptif dengan pendekatan observasional pada pelayanan kesehatan sekunder (Dinas Kesehatan Provinsi Lampung) responden pada penelitian ini adalah kepala seksi surveilans dan imunisasi dinas kesehatan Provinsi Lampung. Pengumpulan data dilakukan …

Penggabungan Aplikasi Telemedicine Tb Sebagai Optimalisasi Pelayanan Tb Selama Masa Pandemi Covid-19, Dian Septiani, Fanesya Nuur Haniifah, Meta Alya Riswaluyo, Najiah Meirina Anwar

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Selama masa pandemi COVID-19, upaya penanganan TB menjadi terhambat. Upaya penanganan TB saat masa pandemi dapat dilakukan dengan memanfaatkan teknologi digital. Yayasan KNCV Indonesia (YKI) bersama Kemenkes RI mengembangkan aplikasi dalam mendukung program TB yaitu SOBAT TB dan EMPATI Client. Kedua aplikasi tersebut memiliki fungsi yang sama yaitu untuk upaya eliminasi TB namun aplikasi tersebut tidak disatukan sehingga pelayanan tidak terintegrasi. Oleh karena itu, diperlukan adanya penggabungan antara aplikasi SOBAT TB dan EMPATI Client. Metode yang digunakan dalam penelitian ini adalah tinjauan literatur (Literature review) dari berbagai sumber. Diperlukan adanya penggabungan aplikasi SOBAT TB dan Empati Client …

Audicor Remote Patient Monitoring: Fda Breakthrough Device And Technology For Heart Failure Management, Marat Fudim Md, Mhs, Michael Mirro Md, Facc, Fhrs, Faha, Hao-Ming Cheng Md

Parkview Heart Institute

Research Letter: The impact of heart failure (HF) on patients, physicians, and hospital systems remains despite recent successes in pharmacologic and device-based treatments. Chronic HF represents one of the nation’s top health issues, leading to reduced patient quality of life, increased risks of hospitalization, increased health care utilization, and high incidence of patient morbidity and mortality. Titration of guideline directed medical therapy and prevention of HF hospitalizations have been identified as key targets in the management of HF. Remote monitoring provides the opportunity to address both issues and has gained significant momentum during the COVID-19 pandemic. Device-based solutions to manage …

Cbct In Clinical Practice, Tarunjeet Pabla Bds, Dmd, Ms, Dip. Abomr, Hugo C. Campos Dds, Dmd, Mds, Dip. Abomr, Aruna Ramesh Bds, Dmd, Ms, Dip. Abomr

The Journal of the Michigan Dental Association

This feature explores the integration of Cone Beam Computed Tomography (CBCT) into dental practice, offering guidelines for best practices. Introduced in 2001, CBCT revolutionized dental radiography, impacting various clinical areas. The article emphasizes the need for clinicians to comprehend CBCT technology, its benefits, and potential risks. It delves into CBCT imaging considerations, technical parameters (Field of View, Voxel Size, Spatial and Contrast Resolution), image viewing, artifacts, machine calibration, and service. Addressing radiation dose, risks, and protection, the article outlines decision-making for 2D vs. 3D imaging. It underscores the responsibility of interpreting CBCT images, legal considerations, return on investment, and the …

10-Minute Ebd: Digital Scans Or Conventional Impressions: Which Results In Better Crowns?, Laura Tsu Dds

The Journal of the Michigan Dental Association

This 10-Minute EBD column critically evaluates the outcomes of digital scans versus conventional impressions in fabricating single-unit crowns, focusing on factors such as marginal and internal fit. Employing a PICO question and a literature search pathway via PubMed, the analysis includes systematic reviews and meta-analyses. Findings suggest that crowns from digital scans generally exhibit clinically acceptable marginal and internal fit, often outperforming conventional impressions. However, heterogeneity in study samples and methodologies contributes to varied results. While digital scans meet the standard of care, ongoing research is essential for a comprehensive understanding of the evolving landscape in digital prosthodontics.

Viral Pneumonia Screening On Chest X-Rays Using Confidence-Aware Anomaly Detection, Jianpeng Zhang, Yutong Xie, Guansong Pang, Zhibin Liao, Johan Verjans, Wenxing Li, Zongji Sun, Jian He, Yi Li, Chunhua Shen, Yong Xia

Research Collection School Of Computing and Information Systems

Clusters of viral pneumonia occurrences over a short period may be a harbinger of an outbreak or pandemic. Rapid and accurate detection of viral pneumonia using chest X-rays can be of significant value for large-scale screening and epidemic prevention, particularly when other more sophisticated imaging modalities are not readily accessible. However, the emergence of novel mutated viruses causes a substantial dataset shift, which can greatly limit the performance of classification-based approaches. In this paper, we formulate the task of differentiating viral pneumonia from non-viral pneumonia and healthy controls into a one-class classification-based anomaly detection problem. We therefore propose the confidence-aware …

Open Your Eyes To 3d Imaging, Lea Al Matny Dds, Ms

The Journal of the Michigan Dental Association

This cover feature illuminates the transformative role of cone beam computed tomography (CBCT) in dental diagnostics and treatment planning. As CBCT evolves from specialized to commonplace usage, its impact on various dental specialties, including oral surgery, periodontics, orthodontics, and general dentistry, becomes apparent. The article underscores the necessity of understanding CBCT's fundamental concepts and emphasizes the importance of customized imaging protocols tailored to patients' needs. Comprehensive evaluation of CBCT scans reveals anatomical variations, aids in detecting periapical pathosis, visualizing root fractures, assessing external cervical root resorption, and contributes to airway analysis. Moreover, the article explores CBCT's expanding role beyond implant …