scholarly journals Patient-Driven Diabetes Technologies: Sentiment and Personas of the #WeAreNotWaiting and #OpenAPS Movements

2020 ◽  
Vol 14 (6) ◽  
pp. 990-999
Author(s):  
Michelle L. Litchman ◽  
Heather R. Walker ◽  
Caroline Fitzgerald ◽  
Mariana Gomez Hoyos ◽  
Dana Lewis ◽  
...  
Keyword(s):  
Medical Devices ◽  
Fast Moving ◽  
Healthcare Providers ◽  
Visual Representations ◽  
Twitter Data ◽  
Multiple Method ◽  
Patients With Diabetes ◽  
Do It Yourself ◽  
Changes Over Time ◽  
Over Time

Background: Patients with diabetes have developed innovative do-it-yourself (DIY) methods for adapting existing medical devices to better fit individual needs. Method: A multiple method study used Symplur Analytics to analyze aggregated Twitter data of #WeAreNotWaiting and #OpenAPS tweets between 2014 and 2017 to examine DIY patient-led innovation. Conversation sentiment was examined between diabetes stakeholders to determine changes over time. Two hundred of the most shared photos were analyzed to understand visual representations of DIY patient-led innovations. Finally, discourse analysis was used to identify the personas who engage in DIY patient-led diabetes technologies activities and conversations on Twitter. Results: A total of 7886 participants who generated 46 578 tweets were included. Sentiment analysis showed that 82%-85% of interactions around DIY patient-led innovation was positive among patient/caregiver and physician groups. Through photo analysis, five content themes emerged: (1) disseminating media and conference coverage, (2) showcasing devices, (3) celebrating connections, (4) providing instructions, and (5) celebrating accomplishments. Six personas emerged across the overlapping userbase: (1) fearless leaders, (2) loopers living it up, (3) parents on a mission, (4) the tech titans, (5) movement supporters, and (6) healthcare provider advocates. Personas had varying goals and behaviors within the community. Conclusions: #WeAreNotWaiting and #OpenAPS on Twitter reveal a fast-moving patient-led movement focused on DIY patient innovation that is further mobilized by an expanding and diverse userbase. Further research is indicated to bring technology savvy persons with diabetes into conversation with healthcare providers and researchers alike.

What’s the Rush?

2021 ◽  
pp. 94-113
Author(s):  
Louise Marie Roth
Keyword(s):  
Pregnant Women ◽  
Healthcare Providers ◽  
Labor Induction ◽  
Low Risk ◽  
Early Term ◽  
Elective Induction ◽  
Liability Risk ◽  
Term Births ◽  
Changes Over Time ◽  
Over Time

This chapter analyzes changes over time in early-term births. Labor induction rates have risen over time and many experts speculate that at least half of inductions are elective. Popular accounts suggest that pregnant women are driving this by requesting inductions. Healthcare providers are also part of the story because they can refuse women’s requests, but hospitals and OB/GYN practices benefit enormously from scheduling births even though they pose medical risks. Analyses of early-term births in low-risk pregnancies reveal that providers are more likely to take unnecessary risks in states with tort reforms that limit their liability risk. This effect was strongest during the period before 2009, when the strength of professional recommendations against early elective induction had eroded.

scholarly journals Analysing aggregate clinical data to support evaluation of the Tackling Indigenous Smoking program, 2014–16

2019 ◽  
Vol 43 (4) ◽  
pp. 441
Author(s):  
Alyson Wright ◽  
Helen Cameron ◽  
Yvette Roe ◽  
Ray Lovett
Keyword(s):  
Torres Strait Islander ◽  
Negative Binomial ◽  
Smoking Status ◽  
Healthcare Providers ◽  
Negative Binomial Regression ◽  
Reporting Rate ◽  
Client Population ◽  
Torres Strait ◽  
Changes Over Time ◽  
Over Time

Objective The aim of this study was to assess the change in recording of client population smoking attributes (smoking status recorded and smoking status) in Tackling Indigenous Smoking (TIS)-funded services compared with non-funded services for Aboriginal and Torres Strait Islander people, 2014–16. Methods The study included a cohort of 152 Aboriginal-community controlled services with aggregate client smoking data from 2014 to 2016. Negative binomial regression was used to assess change in smoking status recorded and smoking status between TIS and non-TIS funded organisations. The models controlled for size of client population, jurisdiction and remoteness. Results From 2014 to 2016, the overall reporting rate (change in recording of smoking status) of client smoking status was 1.58-fold higher (95% confidence interval (CI) 1.30–1.91; P<0.001) in TIS-funded than non-TIS-funded services after controlling for year, remoteness and their interaction. The highest change in reporting of client smoking status was for TIS-funded services in remote areas (reporting ratio 6.55; 95% CI 5.18–8.27; P<0.001). In 2016, TIS-funded services reported higher overall levels of recording client smoking status (current, ex- and non-smokers) than non-TIS funded services (RR 1.11; 95% CI 1.00–1.28; P<0.001). There was no significant change in the reporting of smokers, ex-smokers or non-smokers over the three reporting periods. Conclusion The analysis shows higher reporting of the proportion of the service client population for services funded under the TIS program compared with non-TIS-funded services. Existing evidence suggests that following-up smokers with targeted clinical interventions once they have had smoking status recorded could reduce smoking rates in the long term. The public health contribution of this study has defined one method for assessing smoking attributes when using aggregate health service data. This method could be applied to future tobacco control programs in health services. What is known about the topic? Aboriginal and Torres Strait Islander smoking prevalence is high. The Aboriginal and Torres Strait Islander primary healthcare providers’ national key performance indicators (nKPIs) are one data source that can track changes over time in smoking in clients of these services. What does this paper add? This paper presents the first analytical study and evaluation of the nKPI dataset items on smoking. What are the implications for practitioners? There is value in analysing routinely collected data in program evaluations. The method used in this paper demonstrates one approach that could be used to assess smoking indicators and their changes over time in TIS program evaluation.

Comparison of two devices for measuring exercise transcutaneous oxygen pressures in patients with claudication

VASA ◽  
2015 ◽  
Vol 44 (5) ◽  
pp. 355-362 ◽  
Author(s):  
Marie Urban ◽  
Alban Fouasson-Chailloux ◽  
Isabelle Signolet ◽  
Christophe Colas Ribas ◽  
Mathieu Feuilloy ◽  
...  
Keyword(s):  
Oxygen Pressure ◽  
Optical Sensors ◽  
Chemical Sensors ◽  
Transcutaneous Oxygen ◽  
Starting Values ◽  
Two Systems ◽  
Transcutaneous Oxygen Pressure ◽  
New Sensors ◽  
Changes Over Time ◽  
Over Time

Abstract. Summary: Background: We aimed at estimating the agreement between the Medicap® (photo-optical) and Radiometer® (electro-chemical) sensors during exercise transcutaneous oxygen pressure (tcpO2) tests. Our hypothesis was that although absolute starting values (tcpO2rest: mean over 2 minutes) might be different, tcpO2-changes over time and the minimal value of the decrease from rest of oxygen pressure (DROPmin) results at exercise shall be concordant between the two systems. Patients and methods: Forty seven patients with arterial claudication (65 + / - 7 years) performed a treadmill test with 5 probes each of the electro-chemical and photo-optical devices simultaneously, one of each system on the chest, on each buttock and on each calf. Results: Seventeen Medicap® probes disconnected during the tests. tcpO2rest and DROPmin values were higher with Medicap® than with Radiometer®, by 13.7 + / - 17.1 mm Hg and 3.4 + / - 11.7 mm Hg, respectively. Despite the differences in absolute starting values, changes over time were similar between the two systems. The concordance between the two systems was approximately 70 % for classification of test results from DROPmin. Conclusions: Photo-optical sensors are promising alternatives to electro-chemical sensors for exercise oximetry, provided that miniaturisation and weight reduction of the new sensors are possible.

Neuropsychological Symptoms in Posttraumatic Stress Disorder and Changes Over Time

2007 ◽  
Author(s):  
Miranda Olff ◽  
Mirjam Nijdam ◽  
Kristin Samuelson ◽  
Julia Golier ◽  
Mariel Meewisse ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Neuropsychological Symptoms ◽  
Changes Over Time ◽  
Over Time

Changes Over Time in Adaptive Behavior Functioning of Twice-Exceptional Children

2010 ◽  
Author(s):  
Rebecca D. Stinson ◽  
Zachary Sussman ◽  
Megan Foley Nicpon ◽  
Allison L. Allmon ◽  
Courtney Cornick ◽  
...  
Keyword(s):  
Adaptive Behavior ◽  
Exceptional Children ◽  
Twice Exceptional ◽  
Changes Over Time ◽  
Over Time

Kategorisierung der Schädelform des Cavalier King Charles Spaniels

2019 ◽  
Vol 47 (02) ◽  
pp. 133-133
Keyword(s):  
Pilot Study ◽  
Cavalier King Charles Spaniel ◽  
Conformation Changes ◽  
Veterinary Record ◽  
Changes Over Time ◽  
Over Time

Knowler SP, Gillstedt L, Mitchell TJ et al. Pilot study of head conformation changes over time in the Cavalier King Charles spaniel breed. Veterinary Record 2019. doi:10.1136/vr.105135.

Uneven Decoupling

2019 ◽  
Vol 5 (4) ◽  
pp. 410-427 ◽  
Author(s):  
Ryan P. Thombs ◽  
Xiaorui Huang
Keyword(s):  
Economic Growth ◽  
Co2 Emissions ◽  
Ecological Modernization ◽  
Climate Mitigation ◽  
Data Limitations ◽  
Treadmill Of Production ◽  
Global North ◽  
Organization Of Production ◽  
Changes Over Time ◽  
Over Time

The macro-comparative decoupling literature has often sought to test the arguments made by the treadmill of production (TP) and ecological modernization (EM) theories. However, due to data limitations, these studies have been limited to analyzing the years after 1960. Given that both theories discuss historical processes operating before 1960, analyzing pre-1960 data is warranted to more comprehensively test the propositions made by both theories. We assess the long-term relationship between economic growth and CO2 emissions from 1870 to 2014 using a sample of global North nations. We use Prais-Winsten regression models with time interactions to assess whether, when, and how much CO2 emissions have decoupled from economic growth over time. We find that significant relative decoupling has occurred twice since 1870: during the last 30 years of the nineteenth century, the timing of which is contrary to what both the EM and TP theories might expect, and after 1970. We also observe that the relationship remained relatively stable from the turn of the twentieth century to approximately 1970, which aligns with the arguments made by the classical TP work. We conclude that shifts in the global organization of production have shaped the magnitude of the economic growth–CO2 emissions relationship and its changes over time, which has implications for climate mitigation policy.

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