Health Information Technology Commons^™

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 …

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 …

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.

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 …

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 …

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.

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 …

Exploring And Evaluating The Impact Of Covid-19 On Mobility Changes In Singapore, Aldy Gunawan, Linh Chi Tran, Kar Way Tan, I-Lin Wang

Research Collection School Of Computing and Information Systems

This paper analyzes the changes in mobility trends due to the impact of the COVID-19 pandemic in Singapore in the six different sectors: Retail and Recreation, Grocery and Pharmacy, Parks, Transit Stations, Workplaces and Residential. The period of observation is from 15 February 2020 to 18 August 2021. The observed patterns obtained from the descriptive data analysis sheds light on the effectiveness of social distancing measures in Singapore as well as the level of compliance among the country’s residents. Correlation analysis is used to explore the relationship between different sectors during the pandemic period. The results reveal a strong sense …

Virtual Deliberate Practice Module For Tracheostomy Change Training: An Application Of Educational Design Research, Jennifer Christina Benjamin, Saul Flores, Parag Jain, Shelley Kumar, Satid Thammasitboon

Faculty, Staff and Students Publications

BACKGROUND: The pandemic poses challenges for in-person procedural skills training. We developed a virtual module for teaching hands-on tracheostomy skills.

OBJECTIVE: To develop and evaluate a virtual module prototype grounded in deliberate practice using tracheostomy change as an example.

METHODS: After identifying desirable features of a virtual module by surveying stakeholders, we designed a prototype using VoiceThread, a multimedia-based collaborative learning platform. We created an asynchronous module accessible to learners for repeated skill practice and for video upload of individual performance on a tracheostomy task trainer using personal devices. This virtual module provided a four-step coaching (demonstration, deconstruction, formulation, and …

Tele-Icu In The Unites States: Is A Cost-Effective Model?, Michael Robie, Stephanie Cole, Archana Suwal, Alberto Coustasse

Management Faculty Research

Introduction: The United States Society of Critical Care Medicine has announced a shortage of all critical care intensivists due to the increased need for critical care for the aging population with comorbidities and improved life expectancy. This shortage has led to tele-ICU programs that have allowed intensivists to care for patients simultaneously remotely.

Methods: This study aimed to assess the potential for the hospital implementation of tele-ICU to determine its overall healthcare cost-effectiveness. The methodology was a review that followed a systematic search approach utilizing 42 sources.

Results: The study findings showed that tele-ICU contributed to reduced hospital LOS by …

Reducing Pulmonary Function Testing Procedure Times In Pediatric Patients, Kathleen Richards Rrt, Shontae Hill Rrt, Kaylynn Bernardo-Stagg Rrt, Heather Miller Rrt, Daniel Barker Rrt, Kailee Perkins Rrt, Michael Richards Mba, Mha

Journal of Nursing & Interprofessional Leadership in Quality & Safety

Problem. The Pulmonary Function Test Time Project (PFT Project) is a quality improvement (QI) initiative designed to decrease PFT testing time and PFT total time in pediatric patients and improve the overall process for both providers and patients. Patients scheduled to see a pulmonary provider were also scheduled for a PFT prior to the provider’s visit. Data showed that the length of time to perform a pulmonary function test (PFT) was causing: (1) a delay in the pulmonary provider seeing patients at the intended appointment time, (2) a disruption to clinic workflow, resulting in scheduling difficulties, and (3) a decreased …

Pulmonary Post-Acute Sequelae Of Covid-19, Usman Akbar, Shivam Gulati, Johnny Zakhour Md, Alex Glynn, Jose Bordon

The University of Louisville Journal of Respiratory Infections

Introduction: Persistent symptoms have been observed in a substantial proportion of survivors of COVID-19 since relatively early in the pandemic. Among these post-acute sequelae of COVID-19 (PASC), respiratory symptoms appear to be the most prevalent.

Methods: We conducted a literature review of peer-reviewed publications in English on the clinical and epidemiological features of respiratory PASC in cohorts of 100 or more patients with a follow-up of four weeks or more after acute infection. Included studies reported the prevalence of persistent respiratory symptoms and/or the results of follow-up pulmonary function tests.

Results: On our review included 14 studies across eight countries …

Compliance With Guidelines For Treatment Of Staphylococcus Aureus Bacteremia Is Associated With Decreased Mortality In Patients Hospitalized For Community-Acquired Pneumonia With Staphylococcus Aureus Bacteremia, Leslie Beavin, Vidyulata Salunkhe, Shashvin Singh, Ahmed Gana, Balaji Sekaran, Mahder A. Tella, Stephen P. Furmanek, Forest W. Arnold

The University of Louisville Journal of Respiratory Infections

Introduction: Staphylococcus aureus bacteremia has a minimum treatment duration of two weeks, while S. aureus community-acquired pneumonia (CAP) treatment is at least five days. Treatment failure, persistent bacteremia, and recurrence are common among patients with community-acquired S. aureus bacteremia. There is conflicting information in the current Infectious Diseases Society of America (IDSA) guidelines for the treatment of S.aureus bacteremia patients with CAP. Therefore, the appropriate treatment duration and modality for S. aureus CAP with bacteremia is unclear. The objective of this study was to compare outcomes among patients with S. aureus CAP and bacteremia treated in compliance versus non-compliance with …