Health Information Technology Commons^™

Addressing Dermatologic Concerns And Teledermatology In Undomiciled And Sheltered Populations, Kennedy Gallagher, Sahithi Talasila, Anna Bistline, Rebecca Krain, Leena Ramani, Elizabeth Jones

Student Papers, Posters & Projects

Homelessness in the United States is a significant public health issue, with dermatologic disease being the most prevalent health concern among the undomiciled and sheltered populations. Despite a growing need for dermatologic care, the supply of dermatologists remains insufficient, contributing to disparities in healthcare access for this vulnerable group. This review aims to detail the spectrum of dermatologic conditions experienced by homeless individuals, identify barriers to adequate care, and explore teledermatology as a potential solution to bridge these gaps. A comprehensive literature review was conducted, analyzing studies and reports on dermatologic issues prevalent among the homeless population and the efficacy …

The Bioremediation Effect Of Microalgae On Wastewater: A Green Technology Approach, Mohamed Ahmed Reda Hamed Dr, Marwa Abdelfattah Abdallah Dr

Journal of Engineering Research

The present study lays an emphasis on the microalgae-based for simultaneous wastewater bioremediation using Chlorella vulgaris and Micrococcus luteus mixed algal cultures to remove its constituent pollutants, amazing green technology guarantees benefits with the decrease in the formation of dangerous solid sludge. Ten days of fully monitoring laboratory experimental program were performed in batch cultures to investigate the effect of various dominant mixing ratios for attaining wastewater concentrations and different governing temperature ranges on the performance of microalgae treatment. The results revealed that there is a significant impact of both wastewater concentrations and temperature treatment conditions on the capability of …

Indicators And Evidence Of Environmental Sustainability For Pedestrian In Public Parks (Towards An Approach For Formulating A Guideline Evaluation Model), Nashwa Youssif

Journal of Engineering Research

يتناول البحث أحد المجالات التي فرضت تواجدها في الأونة الأخيرة علي الساحة العلمية والبحثية التي تتعلق بالعلاقة التبادلية التأثير بين الإنسان والفراغ العمراني حيث يتنامي الإهتمام بالخصائص الإنسانيه و مدي توافقها مع هذا الفراغ العمراني.

وتعد مسارات المشاة من أهم الحيزات العمرانية التى تشكل النسيج العمراني وأحد أهم وسائل التواصل الإجتماعي والثقافي والوظيفي نظرآ لإرتباطها بالغالبية العظمي من أفراد المجتمع، ومساعدتها على جذب العديـد من الأنشطة داخل الحدائق العامة. مما يشير إلي ضرورة الإهتمام بتحسين بيئة حركة المشاه كمدخل للتواصل والإستدامة.

ومن هنا تتمثل مشكلة البحث في نقص الدراسات حول تقييم العلاقة بين معايير الاستدامة التصميمية والنظم البيئية لمسارات المشاة …

Digital Scribes: A Possible Solution For Provider Burnout By Reducing Provider Workload, Shannon Storley

Theses and Graduate Projects

Background: Provider burnout is continuing to be a massive problem for our healthcare industry. One major contributor to provider burnout is burdensome administrative tasks associated with documentation of electronic medical records (EMR). This review aims to uncover the applications for artificially intelligent digital scribes as a solution to reduce EMR documentation burden. Purpose: Provider burnout has shown to increase the incidence of major mistakes and decreased patient safety grades. Digital scribes could be a solution in reducing provider burnout by reducing the administrative burden of EMR documentation. Methods: A comprehensive literature review was conducted using articles from PubMed using search …

Central Tracking And Billing System For Insurance Bills, Kehinde Alabi

Harrisburg University Dissertations and Theses

In this article, we introduce a new centralized billing platform designed for insurance bills including auto insurance, health insurance, home insurance, life insurance, etc. This system consolidates all bills for individual users eliminating the need for them to manage and pay bills separately. Users stand to benefit from significant time and effort savings each month, reducing the likelihood of missed payments and associated late fees. Insurance billing organizations and banks can also capitalize on timely payments and reduced physical mailings, leading to cost savings and environmental benefits. The proposed system offers users the ability to track and review their historical …

Patient Experiences With An Mhealth App For Complex Chronic Disease Care: Connections Despite Lack Of Traditional Clinical Interactions, Jenney Lee, Melissa Cheyney, Michael A. May, Marit L. Bovbjerg

Patient Experience Journal

Chronic diseases are costly to treat and burdensome for patients. Mobile health (mHealth) technologies might reduce costs of care and increase patient self-efficacy in chronic disease management, but the patient experience of mHealth is poorly understood. Our objective, therefore, was to evaluate patient experiences with using an mHealth app for complex chronic disease management, within a U.S. population of low-income patients. We used nurse/patient text messages from an mHealth complex chronic disease management tool, and exit interviews from patients, to assess qualitatively Medicaid patients' experiences with a remote monitoring mHealth app. Salient themes about the patient experience included: (1) Visibility …

Examining The Impact Of Telehealth Visits On Patient And Family Experience In A Pediatric Emergency And Urgent Care Center, Abigail Gauthier Md, Callie Krentz Md, Shiran Chan Ms, Michelle Widecan Dnp, Aprn, Cpnp, Ac/Pc, Adam A. Vukovic Md, Med

Patient Experience Journal

Providers and healthcare organizations have created novel ways of evaluating patients using telehealth. Patient volumes in urgent cares (UCs) and emergency departments (EDs) continue to climb, contributing to longer wait times and suboptimal patient and family experiences (PFEs). Optimizing use of telehealth may not only impact PFE of those evaluated virtually, but also reduce crowding in EDs and UCs, indirectly impacting PFE in those spaces as well. The purpose of this study is to identify any association between telehealth encounters and PFE scores. This is a retrospective review of patients seen via telehealth in virtual urgent care, UC, or the …

Perspectives On Telemedicine Across Urban, Rural And Remote Areas In The Philippines During The Covid-19 Pandemic, Noleen Fabian, Regine Ynez De Mesa, Carol Tan-Lim, Gillian Sandigan, Johanna Lopez, Arianna Maever Loreche, Leonila Dans, Zharie Benzon, Herbert Zabala, Josephine Sanchez, Nanette Sundiang, Mia Rey, Antonio Dans

Ateneo School of Medicine and Public Health Publications

Objectives

This study explored attitudes, subjective norms, and perceived behavioural control of participants across urban, rural and remote settings and examined intention-to-use telemedicine (defined in this study as remote patient-clinician consultations) during the COVID-19 pandemic.

Methods

This is a cross-sectional study. 12 focus group discussions were conducted with 60 diverse telemedicine user and non-user participants across 3 study settings. Analysis of responses was done to understand the attitudes, norms and perceived behavioural control of participants. This explored the relationship between the aforementioned factors and intention to use.

Results

Both users and non-users of telemedicine relayed that the benefits of telemedicine …

Enhancing Clinical Relevance Of Pretrained Language Models Through Integration Of External Knowledge: Case Study On Cardiovascular Diagnosis From Electronic Health Records, Qiuhao Lu, Andrew Wen, Thien Nguyen, Hongfang Liu

Faculty, Staff and Student Publications

Background: Despite their growing use in health care, pretrained language models (PLMs) often lack clinical relevance due to insufficient domain expertise and poor interpretability. A key strategy to overcome these challenges is integrating external knowledge into PLMs, enhancing their adaptability and clinical usefulness. Current biomedical knowledge graphs like UMLS (Unified Medical Language System), SNOMED CT (Systematized Medical Nomenclature for Medicine-Clinical Terminology), and HPO (Human Phenotype Ontology), while comprehensive, fail to effectively connect general biomedical knowledge with physician insights. There is an equally important need for a model that integrates diverse knowledge in a way that is both unified and compartmentalized. …

Population-Level Trends In Self-Reported Healthcare Utilization Among Older Adults In Mexico With And Without Cognitive Impairment, José Eduardo Cabrero Castro, Rebeca Wong, Rafael Samper Ternent, Brian Downer

Faculty, Staff and Student Publications

BACKGROUND: Older adults with cognitive impairment exhibit different patterns of healthcare utilization compared to their cognitively healthy counterparts. Despite extensive research in high-income countries, similar studies in low- and middle-income countries are lacking. This study aims to investigate the population-level patterns in healthcare utilization among older adults with and without cognitive impairment in Mexico.

METHODS: Data came from five waves (2001-2018) of the Mexican Health and Aging Study. We used self-reported measures for one or more over-night hospital stays, doctor visits, visits to homeopathic doctors, and dental visits in the past year; seeing a pharmacist in the past year; and …

Exploring Healthcare Chatbot Information Presentation: Applying Hierarchical Bayesian Regression And Inductive Thematic Analysis In A Mixed Methods Study, Samuel Nelson Koscelny

All Theses

High blood pressure, also known as hypertension, significantly increases the risk of heart disease and stroke, which are leading causes of death in the United States. While contributing to over 691,000 deaths in 2021 alone in the United States (U.S.), it also imposes immense economic burden on the healthcare system, costing approximately $131 billion annually. One way to address this issue is for increased self-care behaviors and medication adherence, both of which require sufficient health literacy. Despite the importance of health literacy, 90% of U.S. adults struggle with health-related subjects. Overcoming the issues associated with health literacy requires addressing the …

August 2024, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

National Immunization Awareness Month

Each year, thousands of adults in the United States get sick from diseases that could have been prevented by vaccines.

Advancing Telehealth Through Artificial Intelligence: Incorporating Emotional Intelligence And Addressing Cybersecurity Challenges, Mahima Rajendra Pulgaonkar

Electronic Theses, Projects, and Dissertations

This culminating experience project explores the integration of Emotional Artificial Intelligence (Emotional AI) into telehealth systems, addressing the dual challenges of enhancing patient care and mitigating cybersecurity risks. The research questions are: (Q1) How can Emotionally Intelligent AI improve telehealth systems' ability to recognize and respond to mental health symptoms? and (Q2) What are the specific cybersecurity challenges associated with AI in telehealth and how can they be mitigated? The findings for each question are: Q1: Emotionally Intelligent AI can significantly enhance telehealth by providing personalized, empathetic interactions that improve patient engagement, adherence to treatment plans, and early detection of …

Perbandingan 3 Metode Exponential Smoothing Dalam Memprediksi Jumlah Pasien Di Rumah Sakit Lakipadada, Gavrila Meil Sombolinggi, Rahmi Susanti, Ismail Andi Baso, Tanti Asrianti, Masithah Masithah

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Peramalan jumlah pasien di rumah sakit merupakan aspek kritis dalam perencanaan rumah sakit kesehatan yang efektif, terutama untuk memastikan ketersediaan sumber daya medis dan layanan yang memadai. Penelitian ini membandingkan tiga metode exponential smoothing (single, double, dan triple exponential smoothing) dalam meramalkan jumlah pasien dengan menggunakan data jumlah pasien dari tahun 2020 – 2023 dan akan diramalkan untuk 5 periode kedepan. Hasil analisis menunjukkan bahwa metode triple exponential smoothing memiliki nilai Mean Absolute Percentage Error (MAPE) terkecil, yaitu 14%. Akurasi yang lebih tinggi dari metode Triple Exponential Smoothing memungkinkan prediksi yang lebih andal dalam menghadapi fluktuasi musiman dan …

Keterbatasan Mobile Jkn Sebagai Bentuk Universal Health Coverage Di Era Digitalisasi: Literature Review, Diva Anita Churiana Sudrajat, Chandrayani Simanjorang, Alvina Diva Fitrianti, Asy Syifa Anwari Zahra

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Pemerintah Indonesia meluncurkan aplikasi Mobile JKN di tahun 2017 yang menunjukkan komitmen pemerintah dalam menyediakan perlindungan terkait hak kesehatan bagi seluruh warga negara Indonesia. Cakupan kepesertaan JKN yang menyentuh angka 224,1 juta memiliki jarak yang bermakna dengan jumlah pengguna aplikasi Mobile JKN yang berada pada angka 16.346.826. Tujuan penelitian ini untuk mengetahui keterbatasan aplikasi dari Mobile JKN yang berpotensi menjadi alasan masyarakat belum menggunakan aplikasi ini. Penelitian ini menggunakan metode literature review. Artikel penelitian yang digunakan dalam penelitian ini ditelusuri melalui database publikasi ilmiah, yaitu Google Scholar menggunakan kata kunci “keterbatasan” dan “Mobile JKN” serta menggunakan filter batasan publikasi …

Analisis Faktor Risiko Kejadian Kematian Akibat Penyakit Kardiovaskular Jemaah Haji Indonesia Tahun 2023, Muhammad Aulia Rahman, Martya Rahmaniati, Raissa Lingga Angesti

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Ibadah haji adalah ibadah yang dilakukan oleh umat muslim di seluruh dunia pada waktu dan tempat yang sudah ditentukan, yang pada tahun 2023 lalu dilakukan oleh 1.845.045 jiwa dari seluruh dunia. Sebagian besar dari kegiatan ibadah haji merupakan kegiatan fisik, ditambah stresor eksternal seperti cuaca, udara yang panas dan teriknya matahari, membuat faktor kesehatan menjadi bagian penting dalam menunjang kelancaran seluruh proses ibadah haji, adapun kriteria sehat tersebut ditentukan berdasarkan istithaah kesehatan jemaah haji. Kematian jemaah haji di tahun 2023 mengalami peningkatan yang cukup signifikan dari tahun-tahun sebelumnya, angkanya mencapai 798 jiwa, dan 42%nya merupakan kematian akibat penyakit kardiovaskular. Oleh …

Spatial Autocorrelation Of Tuberculosis Cases In Central Java Province In 2022, Izzatul Mardiah Saini, Tris Eryando

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Tuberculosis still becomes a health problem both in the world and in Indonesia. Central Java is The third highest province of tuberculosis in Indonesia. Spatial analysis is an essential tool for evaluating the tuberculosis distribution pattern according to geographic location. This research aims to determine tuberculosis hotspot areas and discover whether there is a spatial correlation between districts/cities in Central Java based on tuberculosis cases using the spatial autocorrelation method through the Moran Index and Local Indicators of Spatial Associations (LISA). Secondary data in the form of the aggregate number of all tuberculosis cases in 2022 was collected from the …

Hubungan Konsumsi Ttd Pada Ibu Hamil Dengan Kejadian Bblr Di Indonesia: Systematic Literature Review, Miftahun Najah, Budi Utomo, Syafira Anindya Dhika Maulani, Hafshah Farah Fadhilah, Sofiyulloh Sofiyulloh, Yuniko Ibnu Latif

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Berat bayi lahir rendah (BBLR) merupakan masalah kesehatan masyarakat yang masih signifikan secara global hingga saat ini. Diperkirakan 15-20% dari seluruh kelahiran di seluruh dunia adalah BBLR. Salah satu penyebab BBLR adalah anemia defisiensi zat besi pada ibu hamil. Penelitian ini bertujuan untuk meninjau literatur secara sistematik dengan menelaah hasil penelitian artikel-artikel sebelumnya. Penelitian menggunakan metode systematic review dengan pendekatan kuantitatif . Penelusuran artikel mengunakan tiga database seperti ProQuest, Scopus dan Google Scholar dengan menggunakan kata kunci “zat besi, “tablet tambah darah”, “berat bayi lahir rendah”, “BBLR”, “Indonesia” dan menggunakan PRISMA mencakup identifikasi, skrining, eligibilitas dan sintesis. Artikel harus memenuhi …

Self-Management: A New Eight-Minute Stretching Program For Employees With Musculoskeletal Disorders (Msds), Siti Latipah, Shieva Nur Azizah Ahmad

Jurnal Keperawatan Indonesia

Musculoskeletal disorders (MSDs) are the main cause of workplace injuries. MSDs are health problems that attack the body’s propulsion systems, such as muscles, tendons, ligaments, joints, cartilage, and nerves. This study aims to determine the effectiveness of Self-Management: A New Eight-Minute Stretching Program against MSDs in a company X, Tangerang, Indonesia. A quantitative, quasi-experimental research method using a non-equivalent control group pre-test- post-test design was conducted on 90 respondents, who were divided into two sample groups by using side probability with a simple random sampling technique. The MSD risk measurement instrument used the Nordic Musculoskeletal Questionnaire. The results obtained showed …

Alternative Therapies Of The Banjar People For Children With Fevers, Esme Anggeriyane, Hamzah Hamzah, Nurhikmah Nurhikmah

Jurnal Keperawatan Indonesia

Fevers often occur in children under five years of age due to the immature formation of their immune systems. Such fevers signify that something unusual is happening in the body, often due to illness. Parents conduct various management techniques, such as medical or traditional treatments, based on their beliefs. Banjar society has a health culture known as bapidara, which is used to treat children with fevers presumably attributable to supernatural disturbances. This exploratory research aimed to discover what alternative therapies the Banjar people use to treat children with fevers. This qualitative study used a transcendental phenomenological design. Data collection was …

Traditional Art Dance Therapy To Reduce Stress Levels Of Elementary School Students, Shinta Restu Wibawa, Christantie Effendy, Heny Suseani Pangastuti, Ami Novianti Subagya, Eryono Budi Wijoyo, Aisya Puteri Andari, Dwi Apriliana, Qurrota Aini Zahrotu Sholikhah

Jurnal Keperawatan Indonesia

COVID-19 pandemic has accelerated the development of new learning systems that are more student-centered. Unfortunately, elementary school students experienced stress and difficulties in adapting from face-to-face to online learning system. Online learning environment lacks in accommodating outdoor activities which are important for children. Several techniques can be applied to reduce stress, including dancing. This research aimed to examine the effectiveness of Traditional Art dance Therapy (TATA) for elementary school students in reducing stress. In this quasi-experimental research, one-group pretest-posttest design without control group was applied, involving 84 students at one elementary school in Yogyakarta , Indonesia. Students’ levels of stress …

Self-Efficacy In Salt Consumption Among Patients Undergoing Hemodialysis, Desy Listyaningrum, Melyza Perdana, Anita Kustanti

Jurnal Keperawatan Indonesia

Salt consumption restriction has many advantages in patients on hemodialysis (HD), but it is also very challenging for them. Self-efficacy is a crucial aspect of successful disease management. Factors related to self-efficacy have been evaluated in many countries. However, the different demographic characteristics in Indonesia may show different significant results. Understanding this problem may contribute to the development of nursing interventions and the patients’ self-management ability while undergoing HD. Hence, the present study aimed to determine the factors associated with self-efficacy for restricting salt consumption among HD patients. Altogether, 98 HD patients participated in this cross-sectional study. The Self-efficacy for …

Bibliometric Analysis Of Research Trends And Novelties For Pneumonia In Children, Ariyani Lutfitasari, Fitriani Nur Damayanti, Budi Santosa, Lia Mulyanti, Umi Khasanah

Jurnal Keperawatan Indonesia

Pneumonia is the leading cause of death among children globally, with most cases occurring in low- and middle-income nations. Pneumonia in children has been thoroughly researched in numerous countries throughout the world. However, no research performed bibliometric analyses of pneumonia in children. This study aims to use a biometric analysis to determine trends in the number of publications, the number of citations, network visualization, overlay visualization, and density visualization concerning the issue of pneumonia in children. This research method employs a systematic review with stages adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flowchart. The highest …

Why Did They Fail? Investigating The Eight Invalid Dimensions Of Patient Safety Culture: Mixed Method Research, Felicia Setiawan, Ferdi Antonio

Jurnal Keperawatan Indonesia

Resistance to adopting patient safety culture practices or technologies can hinder improvements in patient safety. This study contributes to enhancing the understanding of patient safety culture (PSC) assessment by identifying the specific factors that render some PSC dimensions invalid and offering actionable recommendations for improvement in healthcare settings. Primary data were gathered using a mixed method of explanatory sequential design, with quantitative data collection and analysis followed by qualitative data collection and analysis. The study was conducted in the leading Private Hospital XYZ, one of the private hospital groups internationally accredited with Joint Commission International with a 110-patient bed capacity. …

Self-Harm In Female Youth With Undiagnosed Adhd: Implementing American Academy Of Pediatrics Screening Guidelines, Roselie M. Woodard

Dissertations

Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder characterized by inattention, hyperactivity, and impulsivity. If undiagnosed or untreated, ADHD can lead to severe psychosocial issues such as academic failure, substance abuse, unplanned pregnancy, and incarceration. The financial burden in the U.S. from diagnostic errors creates an immense, rising fiscal impact. Early diagnosis and management are crucial to prevent these complications.

Females with ADHD, particularly those with the inattentive subtype, often face diagnostic challenges due to symptom masking and over-compensation. This results in poorer cognitive functioning and self-esteem compared to males with ADHD. ADHD is linked to autonomic nervous …

Accuracy, Thoroughness, And Quality Of Outpatient Primary Care Documentation In The U.S. Department Of Veterans Affairs., Michael Weiner, Mindy E Flanagan, Katie Ernst, Ann H Cottingham, Nicholas A Rattray, Zamal Franks, April W Savoy, Joy L Lee, Richard M Frankel

Health Services and Informatics Research

BACKGROUND: Electronic health records (EHRs) can accelerate documentation and may enhance details of notes, or complicate documentation and introduce errors. Comprehensive assessment of documentation quality requires comparing documentation to what transpires during the clinical encounter itself. We assessed outpatient primary care notes and corresponding recorded encounters to determine accuracy, thoroughness, and several additional key measures of documentation quality.

METHODS: Patients and primary care clinicians across five midwestern primary care clinics of the US Department of Veterans Affairs were recruited into a prospective observational study. Clinical encounters were video-recorded and transcribed verbatim. Using the Physician Documentation Quality Instrument (PDQI-9) added to …

Employing Interactive Architecture Techniques In Architectural Design Methodologies To Retrieve Ancient Egyptian Identity, Dina Elwy Aly Hamed Hussein Dr. Lobna Abd-Allah Abd-Elfattah Agha , Dr. Azza Sobhi Ragab Elsakka

Journal of Engineering Research

Architectural projects often rely on modern technologies like smart architecture and environmental treatments, neglecting the principles and philosophy that reflect civilization, ideas, culture, and traditions. This leads to short-lived buildings that depend on these technologies without any purpose of preserving them. Technicians must constantly renew technology to improve production and without benefits, as threats of superior artificial intelligence have been warned, that autonomous machines may perform tasks without programmers understanding how to reach this level. Instead of relying solely on environmental or smart technology, we should make technology serve the design idea rather than relying solely on it. Considering this, …

The Effect Of Lighting In Color In The Interior Space Of The Residential Unit, Abd Elbary Eldininy Abd Elbary Eldininy

Journal of Engineering Research

ABSTRACT: Humanity is spending more and more time indoors, both at work and at home - with studies showing that we now spend 87% of our lives indoors. Residential environ ments both positively affect the mood and well-being of its occupants, just as places with poor and uncomfortable lighting and colors can make life miserable. This is why we are interested in this issue. The importance of knowing the issues of lighting and colors in order to obtain a well thought-out interior design. The interior designer has the ability to control in the quality of lighting of various types, artificial …

Green Facade Strategy To Mitigate Heat Islands, Arch. Aya Gamal Abdel Hamid Muhammad Prof. Mai Wahba Madkour... Dr. Rania Elghamry Ashmawy Tolba Elakab

Journal of Engineering Research

In the beginning of the twentieth century and the occurrence of the economic crisis that accompanied by a climate crisis, that one of its indicators the rise in temperatures and the formation of hot zones, especially in crowded cities, including Cairo in particular, as it is considered one of the crowded cities in the world, and this noticeable rise in temperatures in Some areas where hot zones form are called heat islands. This results because of the nature of the urban environment, which has a high building density, little natural landscape, and human and industrial activities that has a negative …

Light Structure Building Technology Towards Sustainable Environmental Design, Sally El-Sayed Prof. Dr. Mai Wahba Madkour2, Prof. Dr. Marwa Ahmed Kamer El-Dawla3

Journal of Engineering Research

The building and construction industry is one of the most important sectors globally , as it plays a vital role in providing housing and infrastructure that meets the needs of various communities , However , this industry is considered one of the largest contributors of negative environmental impacts in terms of consuming huge amounts of natural resources in an unsustainable manner and a subsequent increase in energy consumption .Therefore, it was necessary to find solutions and explore for new and sustainable construction methods to alleviate these problems .This research paper will focus on the use of light buildings and their …