Conducting a Virtual Study With Special Considerations for Working With Persons With Aphasia

Author(s):  
Ashleigh Doub ◽  
Anne Hittson ◽  
Brielle C. Stark

Purpose The use of technology (e.g., telehealth) in clinical settings has rapidly increased, and its use in research settings continues to grow. The aim of this report is to present one potential solution to a clinical issue that of virtual and remote assessment for the purposes of spoken language research in persons with aphasia (PWA). To do so, we report detailed methods for conducting a multitimepoint (test–retest) virtual paradigm, assessing lifestyle, physiological, cognitive, and linguistic factors in persons with and without aphasia. Method Procedures for virtual assessment are detailed in a sample of adults with no brain damage ( N = 24) and PWA ( N = 25) on a test–retest paradigm (data collection approximately 10 ± 3 days apart). This report provides practical information about pre-assessment (e.g., recruitment, scheduling), assessment (e.g., aphasia-friendly consent presentation, investigator fidelity), and postassessment (e.g., data storage, quality check) procedures for human behavior research using a virtual platform. Results Preliminary study data are provided, indicating high retention rates, high rates of data acquisition, and feasibility. Common technological troubles and solutions are discussed, and solutions are offered. The results suggest that our pre-assessment, assessment, and postassessment procedures contributed to the success of our study. Conclusions We provide a practical methodology for conducting a multitimepoint study, with considerations for PWA, adding to the body of research on telehealth in clinical populations. Future studies should continue to evaluate telemethodology, which may be core for diversifying studies, improving study retention, and enrolling larger sample sizes. Supplemental Material https://doi.org/10.23641/asha.14608101

2020 ◽  
Author(s):  
Ashleigh Doub ◽  
Anne Hittson ◽  
Brielle C Stark

Purpose: The use of technology (e.g., telehealth) in clinical settings has rapidly increased and its use in research settings continues to grow. The aim of this report is to provide detailed methods for conducting a multi-timepoint (test-retest) virtual paradigm, assessing lifestyle, physiological, cognitive, and linguistic factors in persons with and without aphasia. Methods: Procedures for virtual assessment are detailed in a sample of non-brain damaged adults (NB; N=24) and persons with aphasia (PWA; N=9) on a test-retest paradigm (data collection approximately 10 +/- 3 days apart). This report provides practical information about pre-assessment (e.g. recruitment, scheduling), assessment (e.g. aphasia-friendly consent presentation, investigator fidelity), and post-assessment (e.g. data storage, quality check) procedures for human behavior research using a virtual platform.Results: Preliminary study data is provided, demonstrating high retention rates and feasibility. Common technological troubles and solutions are discussed, and solutions offered. The results suggest that our pre-assessment, assessment, and post-assessment procedures were core to the success of our study. Conclusion: We provide practical methodology for conducting a multi-timepoint study, with considerations for persons with aphasia, adding to the body of research on telehealth in clinical populations. Future studies should continue to evaluate tele-methodology, which may be core for diversifying studies, improving study retention, and enrolling larger sample sizes.


Author(s):  
Titilayo Dorothy Odetola ◽  
Olusola Oluwasola ◽  
Christoph Pimmer ◽  
Oluwafemi Dipeolu ◽  
Samson Oluwayemi Akande ◽  
...  

The “disconnect” between the body of knowledge acquired in classroom settings and the application of this knowledge in clinical practice is one of the main reasons for professional fear, anxiety and feelings of incompetence among freshly graduated nurses. While the phenomenon of the theory-to-practice gap has been researched quite extensively in high-income country settings much less is known about nursing students’ experiences in a developing country context. To rectify this shortcoming, the qualitative study investigated the experiences of nursing students in their attempt to apply what they learn in classrooms in clinical learning contexts in seven sites in Nigeria. Thematic content analysis was used to analyse data gained from eight focus group discussions (n = 80) with the students. The findings reveal a multifaceted theory-practice gap which plays out along four tensions: (1) procedural, i.e. the difference between practices from education institutions and the ones enacted in clinical wards – and contradictions that emerge even within one clinical setting; (2) political, i.e. conflicts that arise between students and clinical staff, especially personnel with a lower qualification profile than the degree that students pursue; (3) material, i.e. the disconnect between contemporary instruments and equipment available in schools and the lack thereof in clinical settings; and (4) temporal, i.e. restricted opportunities for supervised practice owing to time constraints in clinical settings in which education tends to be undervalued. Many of these aspects are linked to and aggravated by infrastructural limitations, which are typical for the setting of a developing country. Nursing students need to be prepared regarding how to deal with the identified procedural, political, material and temporal tensions before and while being immersed in clinical practice, and, in so doing, they need to be supported by educationally better qualified clinical staff.


2021 ◽  
Vol 10 (2) ◽  
pp. 228
Author(s):  
Tomonari Kinoshita ◽  
Taichiro Goto

Despite complete resection, cancer recurrence frequently occurs in clinical practice. This indicates that cancer cells had already metastasized from their organ of origin at the time of resection or had circulated throughout the body via the lymphatic and vascular systems. To obtain this potential for metastasis, cancer cells must undergo essential and intrinsic processes that are supported by the tumor microenvironment. Cancer-associated inflammation may be engaged in cancer development, progression, and metastasis. Despite numerous reports detailing the interplays between cancer and its microenvironment via the inflammatory network, the status of cancer-associated inflammation remains difficult to recognize in clinical settings. In the current paper, we reviewed clinical reports on the relevance between inflammation and cancer recurrence after surgical resection, focusing on inflammatory indicators and cancer recurrence predictors according to cancer type and clinical indicators.


Sensors ◽  
2021 ◽  
Vol 21 (12) ◽  
pp. 4027
Author(s):  
Timo Lauteslager ◽  
Michal Maslik ◽  
Fares Siddiqui ◽  
Saad Marfani ◽  
Guy D. Leschziner ◽  
...  

Respiratory rate (RR) is typically the first vital sign to change when a patient decompensates. Despite this, RR is often monitored infrequently and inaccurately. The Circadia Contactless Breathing Monitor™ (model C100) is a novel device that uses ultra-wideband radar to monitor RR continuously and un-obtrusively. Performance of the Circadia Monitor was assessed by direct comparison to manually scored reference data. Data were collected across a range of clinical and non-clinical settings, considering a broad range of user characteristics and use cases, in a total of 50 subjects. Bland–Altman analysis showed high agreement with the gold standard reference for all study data, and agreement fell within the predefined acceptance criteria of ±5 breaths per minute (BrPM). The 95% limits of agreement were −3.0 to 1.3 BrPM for a nonprobability sample of subjects while awake, −2.3 to 1.7 BrPM for a clinical sample of subjects while asleep, and −1.2 to 0.7 BrPM for a sample of healthy subjects while asleep. Accuracy rate, using an error margin of ±2 BrPM, was found to be 90% or higher. Results demonstrate that the Circadia Monitor can effectively and efficiently be used for accurate spot measurements and continuous bedside monitoring of RR in low acuity settings, such as the nursing home or hospital ward, or for remote patient monitoring.


Pain Medicine ◽  
2021 ◽  
Author(s):  
Natalie L Dyer ◽  
Jessica Surdam ◽  
Jeffery A Dusek

Abstract Objective The goal of this systematic review was to evaluate practice-based, real-world research of individualized complementary and integrative health (CIH) therapies for pain as provided in CIH outpatient clinics. Methods A systematic review was conducted using PubMed, Ovid, Cochrane, Web of Science, Scopus and Embase through Dec 2020. The study was listed in the PROSPERO database (CRD42020159193). Major categories of variables extracted included study details and demographics; interventions; and outcomes. Results The literature search yielded 3,316 records with 264 assessed for full text review. Of those, 23 studies (including ∼8,464 patients) were specific to pain conditions as a main outcome. Studies included chiropractic, acupuncture, multimodal individualized intervention/programs, physiotherapy, and anthroposophic medicine therapy. Retention rates ranged from 53% to 91%, with studies offering monetary incentives showing the highest retention. The 0–10 numerical rating scale was the most common pain questionnaire (n = 10, 43% of studies), with an average percent improvement across all studies and timepoints of 32% (range 18–60%). Conclusions Findings from this systematic review of practice-based, real-word research indicate that CIH therapies exert positive effects on various pain outcomes. Although all studies reported beneficial impacts on one or more pain outcomes, the heterogeneous nature of studies limits our overall understanding of CIH as provided in clinical settings. Accordingly, we present numerous recommendations to improve publication reporting and guide future research. Our call to action is future, practice-based CIH research is needed, but should be more expansive and in association with a CIH scientific society with academic and healthcare members.


2021 ◽  
pp. 178359172110553
Author(s):  
Ishani Patharia ◽  
Anjana Pandey ◽  
Sanjay Gupta

Technological developments have a major impact on user behavior. The rapidly evolving communication system and technology have provided numerous choices for people. The ever-shifting changes in the generation of communication networks have posed challenges for mobile network service providers to attract and retain customers. This study aims to prioritize the determinants of the adoption of mobile network service providers using the unified theory of acceptance and use of technology (UTAUT-2). In this study, data were collected from 660 mobile phone users in Haryana, India. A fuzzy analytical hierarchy process (F-AHP) was applied to arrange the priority or rank the factors based on the significance of the factors in explaining the adoption of mobile network service providers. Results of the study reveal that efforts expectancy is the highest-ranked and prioritized factor for the adoption of mobile network service providers followed by performance expectancy and facilitating conditions. However, social influence emerged as the least important factor. The present study provides theoretical implications for future researchers by synthesizing and prioritizing the important factors affecting technology acceptance. The practical implications offer a clearer insight to marketers for developing focused pragmatic strategies to retain customer loyalty. The study has considered only UTAUT-2 model constructs and used the F-AHP technique. Other factors may be considered in future studies. Other priority analysis techniques can also be used such as ISM and MICMAC analysis for further study. The research has been conducted in Haryana, India, and therefore, it needs to be tested in other areas/countries for generalizability. JEL Classification: O1, O2, O4


2021 ◽  
Vol 102 ◽  
pp. 01006
Author(s):  
Neil Johnson

Research into providing effective online education has suggested an important goal for instructors is the creation of an online community of inquiry (CoI) where social, cognitive, and teacher presence are all important aspects of successful online learning. With reference to a recent reflective practice case study, this paper describes ways that the research on online communities of inquiry may be enriched through the use of digital ethnography. In the target reflective case study, data analysis tasks were designed and presented in an online VoiceThread site, promoting dialogic and multimodal engagement with data from actual research studies that are central to the module theme in teacher education. Interaction around these tasks is coded using the CoI framework. Ethnographic data from the participants was collected and coded using qualitative research protocols to contextualise the interaction data and provide a clearer understanding of how participants had come together throughout the module. The ethnographic data revealed some interesting concerns with online learning, including the use of technology as a barrier to participation.


2021 ◽  
Vol 100 (10) ◽  
pp. 1157-1162
Author(s):  
Galina A. Bezrukova ◽  
Mikhail V. Pozdnyakov ◽  
Tamara A. Novikova

Introduction. To increase the effectiveness of social and hygienic monitoring of the health status of workers in harmful and/or dangerous occupation conditions by objectifying the analysis of the health status of workers and timely detection of premorbid forms of pathology, an informational medical advisory and diagnostic system is proposed that ensures the efficiency of using the previously developed methodological recommendations MR 2.2.9.0148-19 “Assessment of the risk of developing states of distress in workers in harmful working conditions”. Materials and methods. The design of the developed computer program is based on the principles of critical assessment of the employee’s health status; multiparametric characteristics of the functional reserves of the body; unity of the information base; the possibility of dynamic monitoring of the health status of employees; automation of data storage and analysis; protection of personal data. Results. The method used by the information system is based on a comprehensive assessment of the functional reserves of the body, correlated by the degree of adaptive stress, including the ranking of the employee health status according to the group of dispensary records, the indicator of adaptive compliance and the level of adaptive immunity. To facilitate the operator’s information support system integrated the List of harmful and (or) hazardous occupation factors, the presence of which is a mandatory preliminary and periodic medical examinations (surveys) and reference weight values, heart rate and blood pressure corresponding to the physiological norm concerning gender and age of the employee. Conclusion. The proposed information system can be used during periodic medical examinations to form risk groups for the development of occupational and production-related morbidity, as well as to assess the effectiveness of hygienic and therapeutic and preventive measures aimed at improving the health of workers in harmful occupation conditions.


2021 ◽  
Vol 14 (2) ◽  
pp. 181-189
Author(s):  
Edy Siswanto ◽  
Sugiarto Sugiarto

Within the body of the National Police, the Polsekta / Polsek have an important role in protecting, nurturing, serving and enforcing the law in the Tegowanu Police area community. Therefore, the Tegowanu Police are required to be able to serve the community where one of the main tasks of the Republic of Indonesia Police is as a public servant. As one of the law enforcement officers, the National The old work agenda system still uses manual methods and takes a lot of time and with this system will slow down the performance of Polsek members. Documentation of activities carried out by the Tegowanu Police Officer cannot be seen by the police chief and members, because photo documentation is only stored on the officer's computer. Another problem is that there is no data storage for community activity data and activity schedules, because there is no storage in the database so that data processing has not been well integrated. By designing a Performance-based Activity information system using the Object Oriented Method at the Tegowanu Police, Resort Grobogan is expected to help data processing so that it is more well integrated and the reporting process and data retrieval are faster if data is needed at any time and create an integrated system with the database. The information that will be built can speed up the process of processing and sending information and activities of the Tegowanu Police to the head of the Sector Police. 


Author(s):  
Viktor Handrianus Pranatawijaya ◽  
Deddy Ronaldo ◽  
Farhani Farhani

Today, technology is rapidly developing in various elements and kinds of society. Withthe use of technology makes the human mindset that manifests into modernization. Thecampus is one place where the student's education to develop the potential that existed to givebirth to students who are creative, crisis, responsible and moral, especially for students. With theuse of campus introduction technology to students will facilitate the learning process. One of theutilization of technology that is now widely used is android.One of them features Android LBS(Location Based Service) is one of the android features used to describe the technology used tofind the location of the device that the user by utilizing satellite facilities. One of the problems ofthe students is the lack of information about the room at Informatics Engineering, University ofPalangkaraya which relates to the subjects in Informatics Engineering. By utilizing the featureLBS (Location Based Service) on android will answer the existing problems so as to facilitatestudents Engineering University of Palangka Raya.The methodology used in development with Prototype According to Pressman, which hasstages of Communication and early data collection, Quick design, Formation of prototype,Evaluation of prototype, Repair prototype and Final Production. At this stage of analysis is madeFlowchart. At this stage of design also made the creation of Unified Modeling Language (UML).The programming languages used are Java, JSON, SQLite.Application of Space Presentation Faculty of Engineering, University of PalangkarayaBased Location Based Service is designed and built using a Prototype Pressman method, withmap plan designed through Google Earth Pro and Edraw Max 7 which is placed on Google MapAPI where data storage is made in online database Firebase and SQLite as local database withthe development of the application created using Android Studio.Implementation of LocationBased Services on Application of Space Presentation Faculty of Engineering, University ofPalangkaraya Based Location Based Service, which applies to the Google Map API with eachpoint of the room made marker that produces radius which varied where if an application userenter into each radius it will produce notification information room containing the subjects thatare in the room so that the lecture-related rooms can be known.


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