At-home biofeedback therapy with wearable sensor and smartphone application: proof of concept

2021 ◽  
Author(s):  
Alma Secerbegovic ◽  
Mustafa Spahic ◽  
Amir Hasanbasic ◽  
Haris Hadzic ◽  
Vedad Mesic ◽  
...  
Keyword(s):  
Smartphone Application ◽  
Proof Of Concept ◽  
Wearable Sensor ◽  
Biofeedback Therapy ◽  
At Home

scholarly journals Connected care for endocarditis and heart failure patients: a hospital-at-home programme

2021 ◽  
Author(s):  
J. van Ramshorst ◽  
M. Duffels ◽  
S. P. M de Boer ◽  
A. Bos-Schaap ◽  
O. Drexhage ◽  
...  
Keyword(s):  
Heart Failure ◽  
Home Care ◽  
Nurse Practitioners ◽  
Care Group ◽  
Proof Of Concept ◽  
Home Setting ◽  
Curative Care ◽  
Care At Home ◽  
Hospital At Home ◽  
At Home

Abstract Background Healthcare expenditure in the Netherlands is increasing at such a rate that currently 1 in 7 employees are working in healthcare/curative care. Future increases in healthcare spending will be restricted, given that 10% of the country’s gross domestic product is spent on healthcare and the fact that there is a workforce shortage. Dutch healthcare consists of a curative sector (mostly hospitals) and nursing care at home. The two entities have separate national budgets (€25 bn + €20 bn respectively) Aim In a proof of concept, we explored a new hospital-at-home model combining hospital cure and nursing home care budgets. This study tests the feasibility of (1) providing hospital care at home, (2) combining financial budgets, (3) increasing workforces by combining teams and (4) improving perspectives and increasing patient and staff satisfaction. Results We tested the feasibility of combining the budgets of a teaching hospital and home care group for cardiology. The budgets were sufficient to hire three nurse practitioners who were trained to work together with 12 home care cardiovascular nurses to provide care in a hospital-at-home setting, including intravenous treatment. Subsequently, the hospital-at-home programme for endocarditis and heart failure treatment was developed and a virtual ward was built within the e‑patient record. Conclusion The current model demonstrates a proof of concept for a hospital-at-home programme providing hospital-level curative care at home by merging hospital and home care nursing staff and budgets. From the clinical perspective, ambulatory intravenous antibiotic and diuretic treatment at home was effective in safely achieving a reduced length of stay of 847 days in endocarditis patients and 201 days in heart-failure-at-home patients. We call for further studies to facilitate combined home care and hospital cure budgets in cardiology to confirm this concept.

scholarly journals Sistem Keamanan Pintu dan Jendela Rumah Berbasih IoT

2020 ◽  
Vol 5 (2) ◽  
pp. 266
Author(s):  
Wahyuni Kurniasih ◽  
Abdul Rakhman ◽  
Irma Salamah
Keyword(s):  
Monitoring System ◽  
Smartphone Application ◽  
The State ◽  
Security System ◽  
Raspberry Pi ◽  
Security Monitoring ◽  
Home Security ◽  
Security Monitoring System ◽  
At Home

The house is the most valuable asset, therefore security at home is also very important. Therefore a home security system is created that combines a microcontroller with an Android smartphone application. The microcontroller used is the Raspberry Pi which is equipped with a camera as a home security monitoring system and various sensors as detectors such as magnetic, PIR sensors and solenoids as automatic door locks. So if the sensors that are installed detect something at home, then the homeowner will immediately get a notification sent by the database to the smartphone application, and the homeowner can monitor the state of the house right then through photos and videos recorded by cameras that have been installed at home.

scholarly journals Feasibility of a Mobile Health Tool for Mothers to Identify Neonatal Illness in Rural Uganda: Acceptability Study

10.2196/16426 ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. e16426
Author(s):  
Shababa B Matin ◽  
Allison Wallingford ◽  
Shicheng Xu ◽  
Natalie Ng ◽  
Anthony Ho ◽  
...  
Keyword(s):  
Health Workers ◽  
Health Assessment ◽  
Care Seeking ◽  
Wearable Sensor ◽  
Middle Income ◽  
Neonatal Deaths ◽  
Danger Signs ◽  
Study Team ◽  
And Training ◽  
At Home

Background A shortage of community health workers to triage sick neonates and poor recognition of neonatal illness by mothers contribute significantly toward neonatal deaths in low- and middle-income countries. Providing low-resource communities with the tools and knowledge to recognize signs of neonatal distress can lead to early care-seeking behavior. To empower and educate mothers to recognize signs of neonatal illness, we developed a neonatal health assessment device consisting of a smartphone app and a wearable sensor (the NeMo system). Objective The aim of this study was to determine if mothers in rural Uganda were willing and able to use the NeMo system during the first week of their infant’s life. We also assessed mothers’ responses to the device’s recommendation to seek care. Methods A total of 20 mothers were enrolled in the study after giving birth in the Iganga District Hospital. Each mother was trained to use the NeMo system to assess her infant for signs of illness before leaving the hospital and was given the NeMo system to use at home for 1 week. Throughout the week, the smartphone tracked the mothers’ usage of NeMo, and the study team visited twice to observe mothers’ ability to use NeMo. Each mother was interviewed at the end of 1 week to gather qualitative feedback on her experience with the NeMo system. Results In total, 18 mothers completed the study; 2 mothers were withdrawn during the week because of extenuating health circumstances. Moreover, 1 day after enrollment and training, 75% (15/20) of mothers used NeMo properly with no mistakes. 3 days after enrollment and training, only 1 mother placed the wearable sensor improperly on her infant. On the final study day, only 1 mother connected the device improperly. Mothers used NeMo an average of 11.67 (SD 5.70) times on their own at home during the 5 full study days. Although the frequency of use per day decreased from day 1 to day 5 of the study (P=.04), 72% (13/18) of mothers used NeMo at least once per day. In total, 64% (9/14) of mothers who received an alert from the NeMo system to seek care for their infants either called the health care professional working with the study team or reused the system immediately and found no danger signs. All 18 mothers agreed or strongly agreed that the NeMo system was easy to use and helped them know when to seek care for their babies. Conclusions NeMo is a feasible and acceptable tool to aid mothers in rural Uganda to assess their infant’s health.

scholarly journals A smartphone application to improve the precision of biopsy site identification: A proof-of-concept study

2020 ◽  
Vol 26 (4) ◽  
pp. 2485-2491 ◽  
Author(s):  
Matthew DaCunha ◽  
Arlette Habashi-Daniel ◽  
Cody Hanson ◽  
Evan Nichols ◽  
Garth R Fraga
Keyword(s):  
Skin Biopsy ◽  
User Interfaces ◽  
Smartphone Application ◽  
Free Text ◽  
Anatomical Site ◽  
Proof Of Concept ◽  
Anatomic Site ◽  
Concept Study ◽  
Biopsy Site ◽  
Before And After

Dermatologists rely on skin biopsies to diagnose cutaneous tumors and rashes. Skin biopsy sites should be accurately identified with conventional anatomical site descriptors in the pathology request form. Reliance upon free-text entries to describe these biopsy sites is prone to user error and can cause medical misadventures such as wrong-site follow-up surgery. We sought to determine whether a smartphone application (RightSite) could improve the precision of biopsy site labeling. We conducted a prospective proof-of-concept study of 100 smartphone-assisted skin biopsy site identifiers with matched comparison to 100 historical controls. Student’s t-test was used to identify significant differences in the precision of anatomic descriptors before and after adoption of the application. We found a 69% improvement in precision of anatomic site labeling with the RightSite smartphone application (P < 0.0001). These data show smartphone-assisted biopsy site labeling improves the precision of anatomic site descriptors. Integrating graphical user interfaces into the electronic health records system could improve health care by standardizing anatomic site nomenclature and site-specific descriptors.

An intelligent video-monitoring system to detect falls: a proof of concept

2018 ◽  
Vol 12 (4) ◽  
pp. 155-168
Author(s):  
Nolwenn Lapierre ◽  
Jean Meunier ◽  
Alain St-Arnaud ◽  
Jacqueline Rousseau
Keyword(s):  
Older Adults ◽  
Monitoring System ◽  
Detection System ◽  
Phase 1 ◽  
Fall Detection ◽  
Video Monitoring ◽  
False Alarms ◽  
Proof Of Concept ◽  
Content Type ◽  
At Home

Purpose To face the challenges raised by the high incidence of falls among older adults, the intelligent video-monitoring system (IVS), a fall detection system that respects privacy, was developed. Most fall detection systems are tested only in laboratories. The purpose of this paper is to test the IVS in a simulation context (apartment-laboratory), then at home. Design/methodology/approach This study is a proof of concept including two phases: a simulation study to test the IVS in an apartment-laboratory (29 scenarios of activities including falls); and a 28-day pre-test at home with two young occupants. The IVS’s sensitivity (Se), specificity (Sp), accuracy (A) and error rate (E) in the apartment-laboratory were calculated, and functioning at home was documented in a logbook. Findings For phase 1, results are: Se =91.67 per cent, Sp =99.02 per cent, A=98.25 per cent, E=1.75. For phase 2, the IVS triggered four false alarms and some technical dysfunctions appeared (e.g. computer screen never turning off) that are easily overcome. Practical implications Results show the IVS’s efficacy at automatically detecting falls at home. Potential issues related to future installation in older adults’ homes were identified. This proof of concept led to recommendations about the installation and calibration of a camera-based fall detection system. Originality/value This paper highlights the potentialities of a camera-based fall detection system in real-world contexts and supports the use of the IVS to help older adults age in place.

scholarly journals Adapting Personal Therapies Using a Mobile Application for Tinnitus Rehabilitation: A Preliminary Study

2020 ◽  
pp. 000348942096281
Author(s):  
Mehdi Abouzari ◽  
Khodayar Goshtasbi ◽  
Brooke Sarna ◽  
Yaser Ghavami ◽  
Erica M. Parker ◽  
...  
Keyword(s):  
Pilot Study ◽  
Mobile Application ◽  
Behavioral Therapy ◽  
Smartphone Application ◽  
Proof Of Concept ◽  
Randomized Controlled ◽  
Sound Therapy ◽  
Potential Efficacy ◽  
Preliminary Study ◽  
And Control

Objectives: To develop a smartphone application providing sound therapy and cognitive behavioral therapy (CBT) for treating tinnitus and performing a proof-of-concept pilot study evaluating its potential efficacy. Methods: An interactive smartphone application available on iOS and Android platforms was developed, which provided an 8-week tinnitus-specific CBT and personalized and frequency-matched sound therapy. Included patients presented to our tertiary clinic between 2017 and 2018, while those waitlisted were regarded as controls. Three surveys were administrated: Tinnitus Handicap Inventory (THI), Generalized Anxiety Disorder 7-item (GAD-7), and Perceived Stress Scale (PSS). Results: A total of 30 patients enrolled in this study consisting of 20 treatment and 10 control patients and mean age was 55.4 ± 11.6 years. Treatment and control patients had similar age, sex, and pre-enrolment GAD and PSS (all P > .05). Baseline THI scores were also similar between treatment and control cohorts (50.1 ± 21.9 vs 62.0 ± 20.7; P = .15). After 8 weeks, though changes in GAD and PSS scores were similar ( P > .05), the treatment group reported a significantly greater improvement in THI scores (17.7 ± 15.8 vs 5.3 ± 10.5, P = .04). Conclusions: This pilot study demonstrated potentially promising efficacy of a smartphone-based CBT and sound therapy platform for treating tinnitus and encourages future randomized controlled trials on this treatment modality.

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