scholarly journals The (non)sense of diagnostic computer tools in memory clinics: An international survey assessing the views of clinicians, patients and caregivers

2021 ◽  
Vol 17 (S6) ◽  
Author(s):  
Aniek M Van Gils ◽  
Leonie N.C. Visser ◽  
Heleen M.A. Hendriksen ◽  
Jean Georges ◽  
Majon Muller ◽  
...  
2021 ◽  
Author(s):  
Aniek M van Gils ◽  
Leonie NC Visser ◽  
Heleen MA Hendriksen ◽  
Jean Georges ◽  
Majon Muller ◽  
...  

BACKGROUND Computer tools based on artificial intelligence could aid clinicians in memory clinics in several ways, for instance by supporting diagnostic decision-making, online cognitive testing, and communicate diagnosis and prognosis. OBJECTIVE We aimed to identify preferences and main barriers and facilitators for using computer tools in memory clinics of all end-users, i.e., clinicians, patients, and care partners. METHODS Between July and October 2020, we sent out an invitation to an online survey to clinicians using the European Alzheimer’s Disease Centers network and Dutch Memory Clinic network, in which 109 clinicians participated (45±10y, 49%F). A second survey was created for patients and care partners. They were invited via Alzheimer Europe, Alzheimer’s Society UK, the Amsterdam Dementia Cohort, and the Amsterdam Ageing Cohort. A total of 50 patients with subjective cognitive decline (SCD), mild cognitive impairment (MCI), or dementia (73±8y, 34%F) and 46 care partners (65±12y, 54%F) participated. RESULTS The vast majority of clinicians reported a willingness to use diagnostic and prognostic computer tools. User-friendliness and increasing diagnostic accuracy were reported as the main factors to stimulate the adoption of a tool. Tools should also be time-saving and provide clear information on reliability and validity. Inadequate integration with electronic patient records and fear of losing important clinical information were most frequently indicated as barriers. Patients and care partners were equally positive about the use of computer tools by clinicians, both for diagnosis and prognosis. In addition, most of them thought favorably of the possibility of using tools themselves CONCLUSIONS This study shows that computer tools in memory clinics are positively valued by most end-users. For further development and implementation, it is essential to overcome technical and practical barriers whilst paying utmost attention to the reliability and validity of a tool.


2018 ◽  
Vol 41 (2) ◽  
pp. 141-148 ◽  
Author(s):  
Tania Lecomte ◽  
Crystal Samson ◽  
Farooq Naeem ◽  
Leslie Schachte ◽  
John Farhall

Author(s):  
Yeoungjee Cho ◽  
Aminu K. Bello ◽  
Adeera Levin ◽  
Meaghan Lunney ◽  
Mohamed A. Osman ◽  
...  

2018 ◽  
pp. 5-26 ◽  
Author(s):  
Stanislav Darula

Three elements mainly wind, water and sun seemed to determine in ancient ages the basic phenomena of life on Earth. Architectural history documented the importance of sun influence on urban and building construction already in layouts of Mesopotamian and Greek houses. Not only sun radiation but especially daylight played a significant role in the creation of indoor environment. Later, in the 20th century, a search of interaction between human life in buildings and natural conditions were studied considering well­being and energy conscious design recently using computer tools in complex research and more detail interdisciplinary solutions. At the same time the restricted daytime availability of natural light was supplemented by more efficient and continually cheaper artificial lighting of interiors. There are two main approaches to standardize the design and evaluation of indoor visual environment. The first is based on the determination of the minimum requirements respecting human health and visibility needs in all activities while the second emphasizes the behaviour and comfort of occupants in buildings considering year­around natural changes of physical quantities like light, temperature, noise and energy consumption. The new current standardization basis for daylight evaluation and window design criteria stimulate the study of methodology principles that historically were based on the overcast type of sky luminance pattern avoiding yearly availability of sky illuminance levels. New trends to base the daylight standardization on yearly or long­term availability of daylight are using the averages or median sky illuminance levels to characterise local climatological conditions. This paper offers the review and discussion about the principles of the natural light standardization with a short introduction to the history and current state, with a trial to focus on the possible development of lighting engineering and its standards in future.


2000 ◽  
Vol 12 (3) ◽  
pp. 329-345
Author(s):  
CARLOS DIUK ◽  
ENRIQUE TANDETER
Keyword(s):  

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