scholarly journals Determination of the informational content of symptoms in the dynamic processes of assessing the patient’s condition in e-health

2021 ◽  
pp. 47-60
Author(s):  
Yaroslav Shevchenko
Keyword(s):  
Remote Monitoring ◽  
Digital Pathology ◽  
Medical Intervention ◽  
Risk Indicators ◽  
Cochrane Library ◽  
Informational Content ◽  
Universal Method ◽  
Probabilistic Algorithms ◽  
Mobile Monitoring ◽  
Mobile Medicine

The study is devoted to substantiating the tactics of choosing the signs of the patient's condition for diagnostic decision-making on corrective medical intervention in mobile medicine. The aim of the research: to study a creation of a methodology for determining the integral informativeness of the patient's symptoms during remote monitoring of his condition. Materials and methods: this article is based on search results in PubMed, Scopus, MEDLINE, EMBASE, PsycINFO, Global Health, Web of Science, Cochrane Library, UK NHS HTA articles published between January 1991 and January 2021 and containing the search terms “information technology”, “Mobile medicine”, “digital pathology” and “deep learning”, as well as the results of the authors' own research. The authors independently extracted data on concealment of distribution, consistency of distribution, blindness, completeness of follow-up, and interventions. Results: concluded that to determine the Informativeness of symptoms in mobile monitoring of patients, it is possible to use risk indicators of predicted conditions as a universal method. Given that the Informativeness of the patient's condition changes constantly, for online diagnosis of conditions during remote monitoring of the patient it is recommended to use the function of informative symptoms from time to time and use a set of approaches to assess the Informativeness of patient symptoms. It is proposed to use the strategy of diagnosis and treatment using probabilistic algorithms based on the values of the risk of complications of the pathological process, as well as the formulas of Kulbach and Shannon to determine individual trends in the pathological patient process. Conclusion: there was proposed to use risk indicators of predicted conditions as a universal method for determining the informational content of symptoms in mobile monitoring of patients.

Personification of the selection of pharmacological treatment of stress and post-stress disorders based on biometric data

2021 ◽  
Vol 19 (1) ◽  
pp. 123-126
Author(s):  
Raisa Ya. Tataritntseva ◽  
Lilia G. Ivanova ◽  
Dmitriy V. Migachev
Keyword(s):  
Remote Monitoring ◽  
Stress Disorders ◽  
Biometric Data ◽  
Mobile Medicine ◽  
Wide Range ◽  
Remote Treatment ◽  
Somatic Diseases ◽  
The Impact ◽  
Post Stress ◽  
Selection Of

Scientific researches have proven the pathogenetic relationship between stress and the development of a wide range of diseases. The impact of stress to the development of somatic diseases is well known, but greatly underestimated, since the treatment of stress and the correction of its consequences is an important aspect in the prevention and treatment of any, even infectious diseases, which was proved during the COVID-19 pandemic in 2020. The introduction of individual mobile medicine devices (M-Health) into a wide medical practice makes it possible to provide not only remote monitoring of the patients condition, but also to conduct remote treatment, with the selection and correction of drug therapy based on objective biometric data.

scholarly journals Monitoring and Prevention the Risk of Diabetic Foot Ulcer Infection during Coronavirus Disease-19 Pandemic: A Narrative Review and Perspective Algorithm

2021 ◽  
Vol 9 (B) ◽  
pp. 577-582
Author(s):  
Mariya Dmitriyeva ◽  
Saken K. Kozhakhmetov ◽  
Dulat K. Turebayev ◽  
Saltanat N. Urazova ◽  
Talgat M. Omarov ◽  
...  
Keyword(s):  
Remote Monitoring ◽  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Cochrane Library ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Diabetic Ulcer ◽  
Number Of Patients ◽  
Increased Risk

BACKGROUND: The coronavirus disease (COVID)-19 pandemic leads to significant changes in the healthcare system and undermining best practices for maintaining a diabetic limb. A large number of patients with diabetic foot are left without timely medical care and are at increased risk of complications, hospitalization, lower limb amputation, and death. A new paradigm must be adopted for the transition from inpatient care to community-based care. The introduction of a pandemic remote management for patients with diabetic foot ulcer includes an assessment of the risk of complications through telemedicine and further stratification of patients according to the developed algorithm. METHODS: A literature review was performed for articles related to telemedicine. We used PubMed, Google Scholar, Cochrane Library, and Ovid MEDLINE to search published articles. We used the following keywords: “Telemedicine,” “diabetes mellitus,” “COVID-19,” “diabetic foot ulcer,” and “remote monitoring.” RESULTS: Implementation of the proposed pandemic care includes telemedicine for remote monitoring and treatment of patients with diabetic foot ulcers, as well as an algorithm for determining the risk of diabetic ulcer infection and patient management tactics according to the identified risk. CONCLUSION: The management of patients with diabetic foot ulcers during a pandemic includes the following goals – to reduce the burden on the health-care system, maintain the safety and functionality of diabetic foot at home, and reduce the risk of COVID-19 in patients with diabetic foot ulcers.

scholarly journals Frameworks, Models, and Theories Used in Electronic Health Research and Development to Support Self-Management of Cardiovascular Diseases Through Remote Monitoring Technologies: Protocol for a Metaethnography Review (Preprint)

2019 ◽  
Author(s):  
Roberto Rafael Cruz-Martínez ◽  
Peter Daniel Noort ◽  
Rikke Aune Asbjørnsen ◽  
Johan Magnus van Niekerk ◽  
Jobke Wentzel ◽  
...  
Keyword(s):  
Cardiovascular Diseases ◽  
Research And Development ◽  
Remote Monitoring ◽  
Self Management ◽  
Cochrane Library ◽  
Natural Setting ◽  
Management Support ◽  
Holistic Understanding ◽  
Electronic Health ◽  
Monitoring Technologies

BACKGROUND Electronic health (eHealth) is a multidisciplinary and rapidly evolving field, and thus requires research focused on knowledge accumulation, curation, and translation. Cardiovascular diseases constitute a global health care crisis in which eHealth can provide novel solutions to improve the efficiency and reach of self-management support for patients where they most need it: their homes and communities. A holistic understanding of eHealth projects focused on such case is required to bridge the multidisciplinary gap formed by the wide range of aims and approaches taken by the various disciplines involved. OBJECTIVE The primary objective of this review is to facilitate a holistic interpretation of eHealth projects aimed at providing self-management support of cardiovascular diseases in the natural setting of patients, thus priming the use of remote monitoring technologies. The review aims to synthesize the operationalization of frameworks, models, and theories applied to the research and development process of eHealth. METHODS We will use Noblit and Hare’s metaethnography approach to review and synthesize researchers’ and practitioners’ reports on how they applied frameworks, models, and theories in their projects. We will systematically search the literature in 7 databases: Scopus, Web of Science, EMBASE, CINAHL, PsycINFO, ACM Digital Library, and the Cochrane Library. We will thoroughly read and code selected studies to extract both raw and contextual data for the synthesis. The relation of the studies will be determined according to the elements of the frameworks, models, or theories the studies applied. We will translate these elements between each other and intend to synthesize holistic principles for eHealth development for the case at hand. RESULTS The search strategy has been completed, data extraction is almost finalized, and the first synthesis approaches are underway. The search yielded 1224 citations and, after we applied the selection criteria, 17 articles remained. We expect to submit the final results for publication in 2019. CONCLUSIONS This review is important because it aims to create a holistic understanding of a multidisciplinary topic at the crossroads of eHealth, cardiovascular diseases, and self-management. The value of metaethnography in contrast to other systematic review methods is that its synthesis approach seeks to generate a new understanding of a topic, while preserving the social and theoretical contexts in which findings emerge. Our results will show how useful this method can be in bridging the multidisciplinary gap of eHealth research and development, to inform and advance the importance of holistic approaches, while showcasing this approach for the case of self-management in cardiovascular diseases. CLINICALTRIAL PROSPERO CRD42018104397; https://www.crd.york.ac.uk/PROSPERO/display_record.php? RecordID=104397 (Archived by WebCite at http://www.webcitation.org/75H1kP1Mm) INTERNATIONAL REGISTERED REPOR DERR1-10.2196/13334

scholarly journals Did we take physical therapy serious after lithotripsy: a meta-analysis of prospective studies

2019 ◽  
Author(s):  
Linjie Peng ◽  
Junjun Wen ◽  
Guohua Zeng ◽  
Wen Zhong
Keyword(s):  
Physical Therapy ◽  
Prospective Studies ◽  
Large Scale ◽  
Randomized Study ◽  
Medical Intervention ◽  
Cochrane Library ◽  
Flexible Ureteroscopy ◽  
Stone Free Rate ◽  
Significant Difference ◽  
Free Rate

Abstract Background Stone-free rate (SFR) after lithotripsy was one of the most frequent concerned issue, especially in patients following extracorporeal shockwave lithotripsy (ESWL) and flexible ureteroscopy (retrograde intrarenal surgery, RIRS). Physical therapy including percussion, inversion, physical vibration and their combinations was administrated to improve the SFR, but there was no conclusive evidence to support this theory. To conclude the effectiveness and safety of physical therapy on the SFR in patients received ESWL/RIRS. Methods We systematically reviewed the literature focused on physical therapy in patients after ESWL/RIRS on PubMed, Scopus, Cochrane library and Embase from 2000 to 2019 April. We mainly focused on stone-free rate and complications rate. Results Nine prospective studies including 8 randomized control trials and 1 non-randomized study were enrolled, and 1747 subjects were analyzed. All the physical therapy we enrolled was finally concluded into EPVL (external physical vibration lithecbole) and PDI (percussion, diuresis and inversion). Compared to conventional group, physical therapy provided a higher SFR (OR: 2.68; 95% CI: 1.74–4.12; P = 0.0001), especially SFR in lower calyx stones (OR: 3.60; 95% CI: 2.26-5.73; P= 0.0001). In subgroup analysis, EPVL (OR: 2.28; 95% CI: 1.27–4.07; P =0.005) and PDI (OR: 3.51; 95% CI: 1.96–6.26; P = 0.0001) were both effective. Drinking e enough water before treatment was supposed to increase the SFR (OR: 3.31; 95% CI: 2.39–4.60; p = 0.0001). Otherwise, medical intervention such as furosemide (OR: 5.21; 95% CI: 0.53–50.72; P = 0.156) and tamsulosin (OR: 1.05; 95% CI: 0.61–1.82; P = 0.855) did not improve the SFR. No significant difference was detected in terms of complications rates (OR: 0.83; 95% CI: 0.61–1.14; P = 0.25). Conclusions EPVL or PDI were both effective and safe in increasing the SFR after ESWL/RIRS, but its effectiveness was limited in LCS. Drinking enough water before physical therapy helped to improve the SFR. The role of furosemide and tamsulosin in physical therapy or surgery need to be testified by large-scale, high-quality studies.

scholarly journals Supporting Self-Management of Cardiovascular Diseases Through Remote Monitoring Technologies: Metaethnography Review of Frameworks, Models, and Theories Used in Research and Development

10.2196/16157 ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. e16157 ◽  
Author(s):  
Roberto Rafael Cruz-Martínez ◽  
Jobke Wentzel ◽  
Rikke Aune Asbjørnsen ◽  
Peter Daniel Noort ◽  
Johan Magnus van Niekerk ◽  
...  
Keyword(s):  
Health Care ◽  
Cardiovascular Diseases ◽  
Research And Development ◽  
Remote Monitoring ◽  
Well Being ◽  
Self Management ◽  
Cochrane Library ◽  
Future Research ◽  
Management Support ◽  
Monitoring Technologies

Background Electronic health (eHealth) is a rapidly evolving field informed by multiple scientific disciplines. Because of this, the use of different terms and concepts to explain the same phenomena and lack of standardization in reporting interventions often leaves a gap that hinders knowledge accumulation. Interventions focused on self-management support of cardiovascular diseases through the use of remote monitoring technologies are a cross-disciplinary area potentially affected by this gap. A review of the underlying frameworks, models, and theories that have informed projects at this crossroad could advance future research and development efforts. Objective This research aimed to identify and compare underlying approaches that have informed interventions focused on self-management support of cardiovascular diseases through the use of remote monitoring technologies. The objective was to achieve an understanding of the distinct approaches by highlighting common or conflicting principles, guidelines, and methods. Methods The metaethnography approach was used to review and synthesize researchers’ reports on how they applied frameworks, models, and theories in their projects. Literature was systematically searched in 7 databases: Scopus, Web of Science, EMBASE, CINAHL, PsycINFO, Association for Computing Machinery Digital Library, and Cochrane Library. Included studies were thoroughly read and coded to extract data for the synthesis. Studies were mainly related by the key ingredients of the underlying approaches they applied. The key ingredients were finally translated across studies and synthesized into thematic clusters. Results Of 1224 initial results, 17 articles were included. The articles described research and development of 10 different projects. Frameworks, models, and theories (n=43) applied by the projects were identified. Key ingredients (n=293) of the included articles were mapped to the following themes of eHealth development: (1) it is a participatory process; (2) it creates new infrastructures for improving health care, health, and well-being; (3) it is intertwined with implementation; (4) it integrates theory, evidence, and participatory approaches for persuasive design; (5) it requires continuous evaluation cycles; (6) it targets behavior change; (7) it targets technology adoption; and (8) it targets health-related outcomes. Conclusions The findings of this review support and exemplify the numerous possibilities in the use of frameworks, models, and theories to guide research and development of eHealth. Participatory, user-centered design, and integration with empirical evidence and theoretical modeling were widely identified principles in the literature. On the contrary, less attention has been given to the integration of implementation in the development process and supporting novel eHealth-based health care infrastructures. To better integrate theory and evidence, holistic approaches can combine patient-centered studies with consolidated knowledge from expert-based approaches. Trial Registration PROSPERO CRD42018104397; https://tinyurl.com/y8ajyajt International Registered Report Identifier (IRRID) RR2-10.2196/13334

scholarly journals Remote Monitoring with Appropriate Reaction to Alerts Was Associated with Improved Outcomes in Chronic Heart Failure: Results from the OptiLink HF Study

2020 ◽  
Author(s):  
Jan Wintrich ◽  
Valérie Pavlicek ◽  
Johannes Brachmann ◽  
Ralph Bosch ◽  
Christian Butter ◽  
...  
Keyword(s):  
Heart Failure ◽  
Remote Monitoring ◽  
Cardiovascular Death ◽  
Medical Intervention ◽  
Implantable Cardioverter Defibrillators ◽  
Cardiac Decompensation ◽  
Clinical Events ◽  
Improved Outcomes ◽  
Cardioverter Defibrillators

Background - Impedance-based remote monitoring (RM) failed to reduce clinical events in the OptiLink HF trial. However, rates of alert-driven interventions triggered by intrathoracic fluid index threshold crossings (FTC) were low indicating physicians' inappropriate reactions to alerts. Methods - We separated appropriate from inappropriate contacts to FTC transmissions in the OptiLink HF trial. Appropriate contacts had to meet the following criteria: i) initial telephone contact within 2 working days after FTC transmission, ii) follow-up contacts according to study protocol, and iii) medical intervention initiated after FTC due to cardiac decompensation. We compared time to cardiovascular death or heart failure hospitalization between RM patients contacted appropriately or inappropriately and patients with usual care (UC). Results - In the RM group, at least one FTC alert was transmitted in 356 patients (70.5%; n=505). Of note, only 55.5% (n=758) of all transmitted FTCs (n=1365) were followed by an appropriate contact. While 113 patients (31.7%; n=356) have been contacted appropriately after every FTC, in 243 patients (68.3%; n=356) at least one FTC was not responded by an appropriate contact. Compared to UC, RM with appropriate contacts to FTC alerts independently reduced the risk of the primary endpoint (Hazard ratio, 0.61; 95% confidence interval 0.39-0.95; p=0.027). Conclusions - RM appropriate reactions to FTC alerts are associated with significantly improved clinical outcomes in patients with advanced HF and implantable cardioverter-defibrillators.

Remote Monitoring System on Mining Visualization

2012 ◽  
Vol 605-607 ◽  
pp. 1683-1686
Author(s):  
Yong Yang ◽  
Yu Liang Li ◽  
Jing Li
Keyword(s):  
System Design ◽  
Monitoring System ◽  
Remote Monitoring ◽  
Video Transmission ◽  
Structure And Function ◽  
Energy Resources ◽  
Mobile Monitoring ◽  
Coal Face ◽  
Remote Monitoring System ◽  
And Function

This document explains and demonstrates how to realize all-side mobile monitoring system in coal face. The system is running in Yunjialing Mine, Jizhong Energy Resources, Handan, Hebei. In the paper first of al, we put forward the principle for system design. And then, we continue to explain the structure and function of the design. Finally, we analysis on the technology of the remote wireless video transmission.

scholarly journals Handling of remote monitoring alerts according to the weekday of transmission: results from the OptiLink HF study

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
J Wintrich ◽  
V.P Pavlicek ◽  
J.B Brachmann ◽  
R.B Bosch ◽  
C.B Butter ◽  
...  
Keyword(s):  
Remote Monitoring ◽  
Medical Intervention ◽  
Pharmacological Intervention ◽  
Funding Source ◽  
Patient Contact ◽  
Telephone Contact ◽  
Secondary Endpoints ◽  
Monitoring Service ◽  
Subsequent Patient

Abstract Background Remote monitoring of patients suffering from heart failure (HF) did not result in improved clinical outcomes in the OptiLink-HF trial. However, initiation of medical intervention after transmission of telemedicine alerts triggered by fluid index threshold crossings (FTCs) was low. The relation between weekday of transmission of FTC and subsequent patient contact is unknown. Methods Patients enrolled in the intervention arm of the OptiLink HF trial (n=505, age 66.1±10.1, male 77.2, EF 26.7±6.1%) were analyzed according to the weekday of transmission of FTC. Transmissions of FTC on Mondays to Thursdays were categorized as TD1, Fridays to Sundays as well as bank holidays as TD2. Primary endpoint was time between transmission and telephone contact; secondary endpoints were subsequent medical intervention and hospitalizations. Results During a follow-up of 18 months, 1364 FTC (866 (63.5%) categorized to TD1, 498 (36.5%) to TD2) alerts occurred in 356 patients. In 46.2% of FTC same day telephone contact was performed in group TD1 compared to 18.3% in group TD2 (p<0.001). Accordingly, the median time to contact was significantly longer in TD2 compared to TD1 (2 (1–3) vs. 0 (0–1); p<0.001). Rates of no telephone contact were not different between the groups (12.1% vs. 12.4%; p=0.866). Although, signs of worsening HF were prevalent in 32.4% in TD1 vs. 32.1% in TD2 (p=0.996), initiation of a pharmacological intervention was more likely in TD1 compared to TD2 (27.9% vs. 22.9%; p=0.041). No differences existed concerning hospitalization for HF within 30 days after FTC (3.9% vs. 3.4%; p=0.636). Conclusion Transmission of FTC alerts during weekends and on bank holidays were less likely associated with timely patient contacts and initiation of pharmacological intervention than during the week. Telemedical centers providing 24/7 remote monitoring service might help to optimize patient care. Funding Acknowledgement Type of funding source: None

scholarly journals Diagnostic concordance and discordance in digital pathology: a systematic review and meta-analysis

2020 ◽  
pp. jclinpath-2020-206764 ◽  
Author(s):  
Ayesha S Azam ◽  
Islam M Miligy ◽  
Peter K-U Kimani ◽  
Heeba Maqbool ◽  
Katherine Hewitt ◽  
...  
Keyword(s):  
Meta Analysis ◽  
Digital Pathology ◽  
Cochrane Library ◽  
Computer Assisted ◽  
Limited Evidence ◽  
Validation Process ◽  
Routine Diagnosis ◽  
Safety And Reliability ◽  
Diagnostic Concordance ◽  
Average Sample

BackgroundDigital pathology (DP) has the potential to fundamentally change the way that histopathology is practised, by streamlining the workflow, increasing efficiency, improving diagnostic accuracy and facilitating the platform for implementation of artificial intelligence–based computer-assisted diagnostics. Although the barriers to wider adoption of DP have been multifactorial, limited evidence of reliability has been a significant contributor. A meta-analysis to demonstrate the combined accuracy and reliability of DP is still lacking in the literature.ObjectivesWe aimed to review the published literature on the diagnostic use of DP and to synthesise a statistically pooled evidence on safety and reliability of DP for routine diagnosis (primary and secondary) in the context of validation process.MethodsA comprehensive literature search was conducted through PubMed, Medline, EMBASE, Cochrane Library and Google Scholar for studies published between 2013 and August 2019. The search protocol identified all studies comparing DP with light microscopy (LM) reporting for diagnostic purposes, predominantly including H&E-stained slides. Random-effects meta-analysis was used to pool evidence from the studies.ResultsTwenty-five studies were deemed eligible to be included in the review which examined a total of 10 410 histology samples (average sample size 176). For overall concordance (clinical concordance), the agreement percentage was 98.3% (95% CI 97.4 to 98.9) across 24 studies. A total of 546 major discordances were reported across 25 studies. Over half (57%) of these were related to assessment of nuclear atypia, grading of dysplasia and malignancy. These were followed by challenging diagnoses (26%) and identification of small objects (16%).ConclusionThe results of this meta-analysis indicate equivalent performance of DP in comparison with LM for routine diagnosis. Furthermore, the results provide valuable information concerning the areas of diagnostic discrepancy which may warrant particular attention in the transition to DP.

Development of a Cloud Based Remote Mobile Monitoring and Control System for Manufacturing

2015 ◽  
Vol 789-790 ◽  
pp. 1082-1086 ◽  
Author(s):  
Albert W.L. Yao ◽  
R.T. Lin
Keyword(s):  
Control System ◽  
Mobile Devices ◽  
Remote Monitoring ◽  
Manufacturing Systems ◽  
Monitoring And Control ◽  
Mobile Monitoring ◽  
Monitoring And Control System ◽  
Competitive Strength ◽  
Smart Mobile ◽  
And Control

The purpose of this study is to develop a remote mobile monitoring and control system for manufacturing factory by using the cloud computing technology and information and communication (ICT) technology. In conjunction with the cloud and ICT technologies and mobile devices, modern manufacturing systems can be integrated to promote competitive strength to transmit the information and control commands toward the remote monitoring systems instantly via mobile devices. In such a way, this remote system could enhance the efficiency of information flow and the competitive strength and add unknown value to industries. This study adopts the cloud and ICT technologies as the main communication media to develop a remote monitoring and control system with smart mobile devices. The results of this study show the successful integration of the intelligent mobile devices and cloud networks for manufacturing system.

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