scholarly journals Development of a medical methodology for telemedicine screening of adult health in outpatient settings for population monitoring of chronic noncommunicable diseases

2020 ◽  
pp. 202-209
Author(s):  
P. V. Seliverstov ◽  
S. R. Bakaeva ◽  
V. V. Shapovalov
Keyword(s):  
Healthy Lifestyle ◽  
Low Cost ◽  
Decision Rules ◽  
Population Monitoring ◽  
Noncommunicable Diseases ◽  
Final Conclusion ◽  
Steady Increase ◽  
Adult Health ◽  
Treatment And Prevention ◽  
Outpatient Settings

Today, in many countries of the world, there is a steady increase in public spending related to health. One of the promising options for optimizing these costs is the widespread use of telemedicine as a method of remote medical care. It is known that the main contribution to the health of an individual and the population as a whole is made by lifestyle. Effective screening, timely detection of risk factors and diseases at the early stages of their development, medical examinations, universal opening of health centers, prevention offices, health schools – all these measures are aimed at increasing the duration and quality of life of the nation. Despite the availability and relatively low cost of well-known programs for remote screening, it is impossible not to mention their significant disadvantages: the lack of final analytical documents, the coverage of one or more systems, the need for a face-to-face visit to the doctor to calculate risks and determine further patient management tactics. The article proposes a methodology for telemedicine screening of adult health in outpatient settings using a system for analyzing unstructured data for population monitoring of chronic non-communicable diseases. The development is based on risk calculation using the method of “decision rules” as a means of description used in the theory of fuzzy sets. The result of the method developed by the authors is a variant of telemedicine questionnaire screening, which allows determining health risks by specific profiles, forming a final conclusion with recommendations for a healthy lifestyle, further examination, treatment and prevention of chronic diseases. The development can be used in public and private medical institutions. Of particular interest is the possibility of integrating software into medical practice in the current conditions of the pandemic, as well as in the state projects “Lean polyclinic”, “Arctic doctor” and “Zemsky doctor”.

scholarly journals TELEMEDICINE AS AN ESSENTIAL PART OF THE MODERN HEALTHCARE DEVELOPMENT

2021 ◽  
Vol 11 (2) ◽  
pp. 5-9
Author(s):  
Pavel Seliverstov ◽  
Sofia Bakaeva ◽  
Daredzhan Tsurtsumiia ◽  
Valentin Shapovalov
Keyword(s):  
Healthy Lifestyle ◽  
Risk Estimation ◽  
Decision Rules ◽  
Health Assessment ◽  
Communicable Diseases ◽  
Clinical Approach ◽  
Adult Health ◽  
Non Communicable Diseases ◽  
Treatment And Prevention ◽  
The Russian Federation

Widespread use of telemedicine as a method for remote medical care provision can become one of the most promising ways to optimise modern healthcare. This article proposes a methodology for adult health telemedicine screening using a system for analysing unstructured data of monitoring chronic non-communicable diseases in the population. This method is based on the risk estimation by the Decision Rules approach, and the fuzzy set theory is used as a description tool. Scientifically-based comprehensive clinical approach for the development of medical questionnaires, the knowledge of which depends on a large scientific base in the field of screening, propaedeutic, taking into account the standards and requirements of health assessment in the Russian Federation, is a fundamental difference from the existing analogues. Expert system of telemedicine questionnaire screening allows determining the health risks by specific profiles, to develop a final personalised judgment with recommendations for a healthy lifestyle, further examination, treatment, and prevention of chronic non-communicable diseases.

scholarly journals A Feasibility Study of a Fit Kit School-Based Intervention to Improve the Health of Students and Their Families

Reports ◽  
2020 ◽  
Vol 3 (1) ◽  
pp. 4
Author(s):  
Jenna M. Williams ◽  
Tracy Power ◽  
Jamie Stoneham ◽  
Nicole DeGreg ◽  
Robert M. Siegel
Keyword(s):  
Healthy Lifestyle ◽  
Low Cost ◽  
Food Selection ◽  
Comprehensive Treatment ◽  
Post Intervention ◽  
Entire Family ◽  
Treatment And Prevention ◽  
Urban Elementary School ◽  
Culturally Adapted ◽  
Shelf Stable

Roberts Academy is an urban elementary school consisting of primarily Hispanic students from lower socioeconomic homes. We were unable to provide weight management and healthy lifestyle counseling for many of the families that were referred to our obesity program, and more broadly were missing the at-risk families. The purpose of the Fit Kit intervention was to improve the health behaviors of the entire family at home and to reduce barriers through this comprehensive treatment and prevention approach. A Fit Kit included a shelf-stable, low-cost, healthy meal for a family of four, a portioned plate, and a soccer beach ball. Families also received monthly educational materials, healthy meal recipes, information about community food and exercise resources, and were invited to attend a culturally adapted cooking experience. No significant differences were seen between pre- and post-intervention survey questions. Post-Fit-Kit surveys showed that the majority of families prepared and liked the meal, found the recipes helpful, and used the portioned plate supplied with the kit. Overall, we conclude this is a feasible method for distributing tangible educational tools to families, but need more information about how it impacts food selection and purchasing behaviors of those families. While the Fit Kit proved to be feasible and acceptable in this test of concept, future studies are needed to further evaluate its impact in a more rigorous scientific manner.

scholarly journals Ears in the Sky: Potential of Drones for the Bioacoustic Monitoring of Birds and Bats

Drones ◽  
2021 ◽  
Vol 5 (1) ◽  
pp. 9
Author(s):  
Adrien Michez ◽  
Stéphane Broset ◽  
Philippe Lejeune
Keyword(s):  
Forest Canopy ◽  
Low Cost ◽  
Population Monitoring ◽  
Biodiversity Loss ◽  
Active Species ◽  
Terrestrial Mammals ◽  
Technical Developments ◽  
High Resolution Imagery ◽  
Human Operators ◽  
The Impact

In the context of global biodiversity loss, wildlife population monitoring is a major challenge. Some innovative techniques such as the use of drones—also called unmanned aerial vehicle/system (UAV/UAS)—offer promising opportunities. The potential of UAS-based wildlife census using high-resolution imagery is now well established for terrestrial mammals or birds that can be seen on images. Nevertheless, the ability of UASs to detect non-conspicuous species, such as small birds below the forest canopy, remains an open question. This issue can be solved with bioacoustics for acoustically active species such as bats and birds. In this context, UASs represent an interesting solution that could be deployed on a larger scale, at lower risk for the operator, and over hard-to-reach locations, such as forest canopies or complex topographies, when compared with traditional protocols (fixed location recorders placed or handled by human operators). In this context, this study proposes a methodological framework to assess the potential of UASs in bioacoustic surveys for birds and bats, using low-cost audible and ultrasound recorders mounted on a low-cost quadcopter UAS (DJI Phantom 3 Pro). The proposed methodological workflow can be straightforwardly replicated in other contexts to test the impact of other UAS bioacoustic recording platforms in relation to the targeted species and the specific UAS design. This protocol allows one to evaluate the sensitivity of UAS approaches through the estimate of the effective detection radius for the different species investigated at several flight heights. The results of this study suggest a strong potential for the bioacoustic monitoring of birds but are more contrasted for bat recordings, mainly due to quadcopter noise (i.e., electronic speed controller (ESC) noise) but also, in a certain manner, to the experimental design (use of a directional speaker with limited call intensity). Technical developments, such as the use of a winch to safely extent the distance between the UAS and the recorder during UAS sound recordings or the development of an innovative platform, such as a plane–blimp hybrid UAS, should make it possible to solve these issues.

scholarly journals Risk factors of adolescent health: mass poll results

2020 ◽  
Vol 65 (3) ◽  
pp. 91-99
Author(s):  
R. U. Khabriev ◽  
R. I. Yagudina ◽  
M. A. Rashid ◽  
E. E. Arinina
Keyword(s):  
Risk Factors ◽  
Healthy Lifestyle ◽  
The Body ◽  
Noncommunicable Disease ◽  
Disease Spread ◽  
Noncommunicable Diseases ◽  
Fresh Vegetables ◽  
Wide Range ◽  
Close Relatives ◽  
Public Health Epidemiology

Objective. To study the risk factors of noncommunicable disease spread in adolescents based on the mass pole results.Methods. The authors conducted four waves of study within the framework of the monitoring project “Risk factors for human health” in 2014–2017. The study included a multistage stratified territorial random sample of 1,691 patients over 11 years. The research population included 170 adolescents (11–19 years) (10%).Results. An adverse profile of risk factors for noncommunicable diseases was predetermined by: overweight in adolescents (10%), increased blood pressure (18%), unfavorable history of cardiovascular events in close relatives (60–70%), nutritional disorders (80–96%) , low level of physical activity (5%), smoking (20%), and alcohol consumption (26% of respondents). The body weight deficiency (35%) and overweight (10%), along with sufficient consumption of fresh vegetables and fruits in only 7% of cases reflects gross malnutrition of adolescents, which determines their future development. Awareness of adolescents of the main risk factors for noncommunicable diseases remains low (less than 30–40% for different factors). The example of close relatives, friends and stressful situations predetermine the emergence of bad habits (consumption of alcohol and tobacco) in adolescents.Scope of application. Pediatrics, public health, epidemiology.Conclusion. In order to correct adverse risk factors of noncommunicable diseases, it is necessary to attract a wide range of specialists, including intensive family and personal psychological consultations with adolescents. These measures will motivate adolescents to a healthy lifestyle and reduce the burden of noncommunicable diseases in the population of the Russian Federation.

Physical Activity and BMI before and after the Situation Caused by COVID-19 in Upper Primary School Pupils in Czech Republic

2021 ◽  
Author(s):  
Jana Pysna ◽  
Jiří Suchý ◽  
Ladislav Pyšný ◽  
David Cihlář ◽  
Dominika Petrů ◽  
...  
Keyword(s):  
Physical Activity ◽  
Czech Republic ◽  
Primary School ◽  
Healthy Lifestyle ◽  
Normal Weight ◽  
Regular Physical Activity ◽  
Steady Increase ◽  
Research Survey ◽  
Before And After ◽  
Primary School Pupils

Regular physical activity is a very important factor in the healthy development of an individual and an essential part of a healthy lifestyle. However, today's population still suffers from insufficient amount of exercise caused mainly by technical progress and often inappropriate conditions for practicing sports. In relation to this, we are grappling with a steady increase in obesity. During the COVID-19 pandemic, conditions for regular physical activity became even more unfavourable, with the declaration of a state of emergency and anti-pandemic measures leading to the closure of sports grounds and sporting competitions. In our research survey, we attempted to determine whether there would be changes in physical activity and BMI before and after the situation caused by the COVID-19 disease in upper primary school pupils in the Czech Republic. Using a questionnaire survey of a sample of children (n =1456), we found that already before the pandemic, 69% of the observed sample had not met the recommended amount of physical activity and only 67% of the sample was of normal weight. After the end of the anti-pandemic measures, the observed values deteriorated even more. There was a significant decrease in children with normal weight (by 7.5%) and an increase in children with Class 1 obesity. At the same time, we saw a significant decrease in children doing sports.

Abstract 13619: Major Electrocardiographic Abnormalities in Brazilian Adults: Prognostic Value and Potential Use in Primary Prevention (from the Elsa-Brasil Cohort Study)

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Marcelo M Pinto Filho ◽  
Luisa C Brant ◽  
Sandhi M Barreto ◽  
JOSE GERALDO MILL ◽  
Paulo A Andrade Lotufo ◽  
...  
Keyword(s):  
Primary Prevention ◽  
Cardiovascular Mortality ◽  
Risk Model ◽  
Independent Predictor ◽  
Cardiovascular Death ◽  
Noncommunicable Diseases ◽  
Adult Health ◽  
Increased Risk ◽  
Electrocardiographic Abnormality ◽  
Electrocardiogram Ecg

Introduction: Cardiovascular diseases (CVD) are the most preventable noncommunicable diseases. Accurate risk stratification is paramount for identifying patients for whom interventions should be offered. The electrocardiogram (ECG) is a potential tool for CVD primary prevention. Our aim is to evaluate the ECG role as an independent predictor of all-cause and cardiovascular mortality Methods: Participants from the Longitudinal Study of Adult Health (ELSA-Brasil), who were free of known CVD at baseline were included. A 12-lead ECG was obtained at baseline (2008-2010).Participants were followed up to 2018 by annual interviews.Deaths and hospitalizations were independently reviewed. Cox and Fine and Gray competitive risk regressions were applied to evaluate if the presence of any major electrocardiographic abnormality (MEA) at baseline, defined according to de Minnesota Code system (MC), would predict total and cardiovascular deaths in multivariable models Results: The 13,437 participants (mean age 51.8 years, 55% women) were followed for 8±1 years. Baseline prevalence of MEA was 7.2% for men, 5.8% for women. All-cause and cardiovascular mortality occurred in 5.7% and 1.2% of men, and 3.1% and 1.2% of women, respectively. Prevalent MEA was an independent predictor of overall mortality after adjustments for age, race, education and traditional cardiovascular risk factors (HR:2.2; 95%CI 1.6-2.9 for men and HR:2.3; 95%CI 1.6-3.4 for women). [LB1] In the competitive risk model for cardiovascular death, the increased risk attributable to MEA was even higher (HR4.1, 95%CI 2.47-6.81 in men and 5.37, 95%CI 2.54-11.36 in women). Conclusions: Presence of MEA was a strong and independent predictor of overall and cardiovascular death for both sexes. ECG may have a role in improving risk assessment for death in primary care

Instrumenting the eHome and Preparing Elderly Pilots

2015 ◽  
pp. 335-361 ◽  
Author(s):  
Panagiotis E. Antoniou ◽  
Evdokimos Konstantinidis ◽  
Antonis S. Billis ◽  
Giorgos Bamparopoulos ◽  
Marianna S. Tsatali ◽  
...  
Keyword(s):  
Assisted Living ◽  
Healthcare Costs ◽  
Healthy Lifestyle ◽  
Low Cost ◽  
Ambient Assisted Living ◽  
Daily Activities ◽  
World Population ◽  
Methodological Framework ◽  
Current Trends ◽  
First World

In this chapter the lessons learnt from the build-up and integration of the USEFIL are demonstrated. First an introduction to Ambient Assisted Living (AAL) platforms, the infrastructure for eHomes of any purpose eHome is presented, in the context of their emergence as a viable way for managing healthcare costs in an aging first world population. Then technical and sustainability issues that are present after several years of maturation are touched upon. The USEFIL project's aim at an AAL platform that utilizes low cost “off-the-shelf” technologies in order to develop immediately applicable services, to assist elderly people in maintaining an independent, healthy lifestyle and program of daily activities is then briefly discussed. Afterwards, the methodological framework as well as principal results of the preparation and running of the pre-piloting phase of that platform are presented. Closing, current trends are explored in conjunction with future directions as triggered by this project in the context of cognitive impaired elderly support.

The Role of Healthy Lifestyle Promotion, Counseling, and Follow-up in Noncommunicable Diseases Prevention

2020 ◽  
Vol 217 ◽  
pp. 221-223.e1 ◽  
Author(s):  
Tudor Lucian Pop ◽  
Leyla Namazova-Baranova ◽  
Julije Mestrovic ◽  
Luigi Nigri ◽  
Mehmet Vural ◽  
...  
Keyword(s):  
Healthy Lifestyle ◽  
Noncommunicable Diseases ◽  
Healthy Lifestyle Promotion
Sign in / Sign up

Export Citation Format

Share Document