scholarly journals Epidemiological Observations on the Association Between Anosmia and COVID-19 Infection: Analysis of Data From a Self-Assessment Web Application (Preprint)

2020 ◽  
Author(s):  
Fabrice Denis ◽  
Simon Galmiche ◽  
Aurélien Dinh ◽  
Arnaud Fontanet ◽  
Arnaud Scherpereel ◽  
...  
Keyword(s):  
Web Application ◽  
Correlation Coefficients ◽  
Warning Signs ◽  
Phone Call ◽  
Self Assessment ◽  
Self Monitoring ◽  
Application Data ◽  
Participatory Surveillance ◽  
Electronic Questionnaires ◽  
Zip Code

BACKGROUND We developed a self-assessment and participatory surveillance web application for coronavirus disease (COVID-19), which was launched in France in March 2020. OBJECTIVE Our objective was to determine if self-reported symptoms could help monitor the dynamics of the COVID-19 outbreak in France. METHODS Users were asked questions about underlying conditions, sociodemographic status, zip code, and COVID-19 symptoms. Depending on the symptoms reported and the presence of coexisting disorders, users were told to either stay at home, contact a general practitioner (GP), or call an emergency phone number. Data regarding COVID-19–related hospitalizations were retrieved from the Ministry of Health. RESULTS As of March 29, 2020, the application was opened 4,126,789 times; 3,799,535 electronic questionnaires were filled out; and 2,477,174 users had at least one symptom. In total, 34.8% (n=1,322,361) reported no symptoms. The remaining users were directed to self-monitoring (n=858,878, 22.6%), GP visit or teleconsultation (n=1,033,922, 27.2%), or an emergency phone call (n=584,374, 15.4%). Emergency warning signs were reported by 39.1% of participants with anosmia, a loss of the sense of smell (n=127,586) versus 22.7% of participants without anosmia (n=1,597,289). Anosmia and fever and/or cough were correlated with hospitalizations for COVID-19 (Spearman correlation coefficients=0.87 and 0.82, respectively; <i>P</i>&lt;.001 for both). CONCLUSIONS This study suggests that anosmia may be strongly associated with COVID-19 and its severity. Despite a lack of medical assessment and virological confirmation, self-checking application data could be a relevant tool to monitor outbreak trends. CLINICALTRIAL ClinicalTrials.gov NCT04331171; https://clinicaltrials.gov/ct2/show/NCT04331171

scholarly journals Epidemiological Observations on the Association Between Anosmia and COVID-19 Infection: Analysis of Data From a Self-Assessment Web Application

10.2196/19855 ◽  
2020 ◽  
Vol 22 (6) ◽  
pp. e19855 ◽  
Author(s):  
Fabrice Denis ◽  
Simon Galmiche ◽  
Aurélien Dinh ◽  
Arnaud Fontanet ◽  
Arnaud Scherpereel ◽  
...  
Keyword(s):  
Web Application ◽  
Correlation Coefficients ◽  
Warning Signs ◽  
Phone Call ◽  
Self Assessment ◽  
Self Monitoring ◽  
Application Data ◽  
Participatory Surveillance ◽  
Electronic Questionnaires ◽  
Zip Code

Background We developed a self-assessment and participatory surveillance web application for coronavirus disease (COVID-19), which was launched in France in March 2020. Objective Our objective was to determine if self-reported symptoms could help monitor the dynamics of the COVID-19 outbreak in France. Methods Users were asked questions about underlying conditions, sociodemographic status, zip code, and COVID-19 symptoms. Depending on the symptoms reported and the presence of coexisting disorders, users were told to either stay at home, contact a general practitioner (GP), or call an emergency phone number. Data regarding COVID-19–related hospitalizations were retrieved from the Ministry of Health. Results As of March 29, 2020, the application was opened 4,126,789 times; 3,799,535 electronic questionnaires were filled out; and 2,477,174 users had at least one symptom. In total, 34.8% (n=1,322,361) reported no symptoms. The remaining users were directed to self-monitoring (n=858,878, 22.6%), GP visit or teleconsultation (n=1,033,922, 27.2%), or an emergency phone call (n=584,374, 15.4%). Emergency warning signs were reported by 39.1% of participants with anosmia, a loss of the sense of smell (n=127,586) versus 22.7% of participants without anosmia (n=1,597,289). Anosmia and fever and/or cough were correlated with hospitalizations for COVID-19 (Spearman correlation coefficients=0.87 and 0.82, respectively; P<.001 for both). Conclusions This study suggests that anosmia may be strongly associated with COVID-19 and its severity. Despite a lack of medical assessment and virological confirmation, self-checking application data could be a relevant tool to monitor outbreak trends. Trial Registration ClinicalTrials.gov NCT04331171; https://clinicaltrials.gov/ct2/show/NCT04331171

scholarly journals COVID-19 epidemic trends from a Self-Assessment Web Application in France: Observational Study (Preprint)

2020 ◽  
Author(s):  
Fabrice Denis ◽  
Arnaud Fontanet ◽  
Yann-Mael Le Douarin ◽  
Florian Le Goff ◽  
Stephan Jeanneau ◽  
...  
Keyword(s):  
Web Application ◽  
Large Scale ◽  
Correlation Coefficients ◽  
Young Population ◽  
Rt Pcr ◽  
Self Assessment ◽  
Emergency Visits ◽  
Spatially Correlated ◽  
Participatory Surveillance ◽  
Second Wave

BACKGROUND We developed a self-assessment and participatory surveillance web-application for coronavirus disease (COVID-19), which was launched in France in March 2020. OBJECTIVE We compared daily large-scale RT-PCR tests results to daily connections to a self-triage application by anosmic users to assess dynamics of emergency visits, hospitalizations and ICU admissions for COVID-19 positive patients in France. METHODS Between 3/21/2020 and 11/18//2020, users of maladiecoronavirus.fr self-triage application were asked questions about COVID-19 symptoms. Data of daily hospitalizations, large-scale RT-PCR positive tests, emergency visits and ICU entrances for COVID-19 patients were compared to data of anosmic users of the applications. RESULTS As of November 18, 2020, 575,214 users reported recent anosmia on near 13 Million responders. Daily anosmia reported during the peak of connections to the application on September 16 were spatially correlated with daily COVID-19–related hospitalizations peak which occurred in November (spearman correlation coefficients=0.77, p<.001). Decrease of the connections of anosmic users after the main peaks of connections preceded the decrease of daily hospitalizations by 10 and 9 days during the first and the second outbreak waves respectively although the decrease of RT-PCR positive tests occurred only 2 days before daily hospitalizations during the second wave. CONCLUSIONS A peak of daily reported anosmia in young adults was observed 49 days before the peak of the hospitalizations corresponding to the first phase of a large-scale contamination of young population followed by older people leading to hospitalization’s peak in November. Data of anosmic users of a national widespread self-assessment application can be a relevant tool to anticipate outbreak surge, and hospitalizations and ICU decrease of COVID-19 patients. CLINICALTRIAL ClinicalTrials.gov NCT04331171

scholarly journals Clinical validation of a novel web-application for remote assessment of distance visual acuity

Eye ◽  
2021 ◽  
Author(s):  
Arun James Thirunavukarasu ◽  
Deborah Mullinger ◽  
Remi Mohan Rufus-Toye ◽  
Sarah Farrell ◽  
Louise E. Allen
Keyword(s):  
Visual Acuity ◽  
Data Storage ◽  
Web Application ◽  
Intraclass Correlation ◽  
Home Monitoring ◽  
Correlation Coefficients ◽  
Remote Consultation ◽  
Self Assessment ◽  
Distance Visual Acuity ◽  
Remote Assessment

Abstract Background/Objectives Ophthalmic disorders cause 8% of hospital clinic attendances, the highest of any specialty. The fundamental need for a distance visual acuity (VA) measurement constrains remote consultation. A web-application, DigiVis, facilitates self-assessment of VA using two internet-connected devices. This prospective validation study aimed to establish its accuracy, reliability, usability and acceptability. Subjects/Methods In total, 120 patients aged 5–87 years (median = 27) self-tested their vision twice using DigiVis in addition to their standard clinical assessment. Eyes with VA worse than +0.80 logMAR were excluded. Accuracy and test-retest (TRT) variability were compared using Bland–Altman analysis and intraclass correlation coefficients (ICC). Patient feedback was analysed. Results Bias between VA tests was insignificant at −0.001 (95% CI −0.017 to 0.015) logMAR. The upper limit of agreement (LOA) was 0.173 (95% CI 0.146 to 0.201) and the lower LOA −0.175 (95% CI −0.202 to −0.147) logMAR. The ICC was 0.818 (95% CI 0.748 to 0.869). DigiVis TRT mean bias was similarly insignificant, at 0.001 (95% CI −0.011 to 0.013) logMAR, the upper LOA was 0.124 (95% CI 0.103 to 0.144) and the lower LOA −0.121 (95% CI −0.142 to −0.101) logMAR. The ICC was 0.922 (95% CI 0.887 to 0.946). 95% of subjects were willing to use DigiVis to monitor vision at home. Conclusions Self-tested distance VA using DigiVis is accurate, reliable and well accepted by patients. The app has potential to facilitate home monitoring, triage and remote consultation but widescale implementation will require integration with NHS databases and secure patient data storage.

scholarly journals Integrated strategies of participatory surveillance to promote flu vaccine coverage in HCWs

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Rizzo ◽  
S Zaffina ◽  
M R Vinci ◽  
A Santoro ◽  
F Gilardi ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Vaccine Coverage ◽  
Demographic Data ◽  
Good Practice ◽  
Phone Call ◽  
High Morbidity ◽  
Healthcare Facilities ◽  
Negative Case ◽  
Flu Vaccine ◽  
Participatory Surveillance

Abstract Problem Influenza represents a threat for healthcare facilities where sudden outbreaks of illness can lead to high morbidity and mortality in vulnerable patients and increase absenteeism in HCWs. Despite WHO recommends annual influenza vaccination of HCWs, flu vaccine coverage (FVC) remain very low in most EU countries. Description of the Problem Despite an important increase in FVC recorded in last years in our hospital, FVC remains under 75%. We pilot a prospective cohort study in HCWs in order to test new methods for influenza vaccination promotion. We create a web-based system integrating information on vaccination status (unvaccinated HCWs, 1/2/3 years vaccinated ones) and demographic data. The Hospital Ethical Committee approved the study. During the 2019/20 influenza season we nested a test-negative case-control study in the cohort to evaluate Influenza vaccine effectiveness against influenza-like-illness (ILI) laboratory confirmed as influenza in HCWs. Results A total of 443 on 2675 HCWs were recruited in the cohort and weekly received specific SMS messages and phone call for a personal invitation to get flu shot. The median age of the cohort was 43,3 (range 21-72) with 128 male (28,9%). In the cohort a FVC of 26/205 (12,7%) was registered in HCWs never vaccinated in the previous 3 seasons. Nasopharyngeal swabs were distributed to 205 subjects for influenza confirmation and they received weekly messages in order to check their health status remanding to self-swab in the case of ILI symptoms. Lessons Using a new and integrated strategy for influenza vaccination promotion in HCWs can increase the FVC. The use of personal direct messages to HCWs and the possibility of confirming or excluding influenza in case of ILI symptoms in those vaccinated and unvaccinated, seems to be very effective in increasing vaccine coverage. Moreover, the cohort could be also used for further research studies as for example the effect of repeated influenza vaccination. Key messages The presented practice appears to be effective and could be applied to larger HCWs population. This strategy could be considered as a good practice of workplace vaccination promotion.

The Use of Behavioural Self-Control as a Teaching Tool

1985 ◽  
Vol 9 (2) ◽  
pp. 24-27
Author(s):  
Diana Roe ◽  
Sandi Plummer
Keyword(s):  
Case Studies ◽  
Behaviour Change ◽  
Self Control ◽  
Teaching Tool ◽  
Use Of Self ◽  
Self Assessment ◽  
Self Monitoring ◽  
Control Techniques ◽  
Children’S Behaviour ◽  
Special Children

AbstractThis paper examines the use of self-control techniques as a teaching tool to change children’s behaviour, and to generalize that behaviour change to other settings. Four case studies are presented to illustrate the use of self-assessment, using the child’s own criteria for rating behaviour, self-modelling with videotapes of the child in the classroom, and self-monitoring using a wrist counter. It is concluded that self-control techniques can be a valuable way of teaching special children to discriminate and evaluate how they are behaving.

Independent Work of Pupils at the “The World Around US” Lessons

2019 ◽  
Vol 7 (4) ◽  
pp. 39-42
Author(s):  
Наталья Виноградова ◽  
Natalya Vinogradova ◽  
Г. Калинова ◽  
G. Kalinova
Keyword(s):  
Learning Activities ◽  
Independent Learning ◽  
Self Assessment ◽  
Self Monitoring ◽  
The World ◽  
Different Types ◽  
The Subject ◽  
Independent Work ◽  
Testing Work

The article discusses the organization of independent testing work of younger schoolchildren in the study of the subject “The World Around Us”. The authors discuss the implementation of the possibility of using different types of independent learning activities to clarify and systematize knowledge, their application in non-standard situations, improve universal learning activities, as well as the development of self-monitoring and self-assessment of students.

scholarly journals High added value of a population-based participatory surveillance system for community acute gastrointestinal, respiratory and influenza-like illnesses in Sweden, 2013–2014 using the web

2017 ◽  
Vol 145 (6) ◽  
pp. 1193-1202 ◽  
Author(s):  
A. PINI ◽  
H. MERK ◽  
A. CARNAHAN ◽  
I. GALANIS ◽  
E. VAN STRATEN ◽  
...  
Keyword(s):  
Surveillance System ◽  
Syndromic Surveillance ◽  
Correlation Coefficients ◽  
Health Agency ◽  
Population Based ◽  
Medical Advice ◽  
Added Value ◽  
Surveillance Systems ◽  
Participatory Surveillance ◽  
The Web

SUMMARYIn 2013–2014, the Public Health Agency of Sweden developed a web-based participatory surveillance system, Hӓlsorapport, based on a random sample of individuals reporting symptoms weekly online, to estimate the community incidence of self-reported acute gastrointestinal (AGI), acute respiratory (ARI) and influenza-like (ILI) illnesses and their severity. We evaluated Hӓlsorapport's acceptability, completeness, representativeness and its data correlation with other surveillance data. We calculated response proportions and Spearman correlation coefficients (r) between (i) incidence of illnesses in Hӓlsorapport and (ii) proportions of specific search terms to medical-advice website and reasons for calling a medical advice hotline. Of 34 748 invitees, 3245 (9·3%) joined the cohort. Participants answered 81% (139 013) of the weekly questionnaires and 90% (16 351) of follow-up questionnaires. AGI incidence correlated with searches on winter-vomiting disease [r = 0·81, 95% confidence interval (CI) 0·69–0·89], and ARI incidence correlated with searches on cough (r = 0·77, 95% CI 0·62–0·86). ILI incidence correlated with the web query-based estimated incidence of ILI patients consulting physicians (r = 0·63, 95% CI 0·42–0·77). The high response to different questionnaires and the correlation with other syndromic surveillance systems suggest that Hӓlsorapport offers a reasonable representation of AGI, ARI and ILI patterns in the community and can complement traditional and syndromic surveillance systems to estimate their burden in the community.

scholarly journals SUN-692 Comprehensive and Structured Care Program for Patients with Type 2 Diabetes Mellitus: A Preliminary Report from Raipur, Chhattisgarh State of India

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Kalpana Dash ◽  
Surekha Tippisetty ◽  
Samba Siva Rao ◽  
Vamsi Krishna Kolukula
Keyword(s):  
Blood Glucose ◽  
Diabetes Management ◽  
Care Program ◽  
Mobile App ◽  
Phone Call ◽  
Hypoglycemic Agents ◽  
Oral Hypoglycemic Agents ◽  
Self Monitoring ◽  
Structured Care ◽  
Glycemic Outcomes

Abstract Aim: To assess the glycemic outcomes of T2DM patients enrolled in comprehensive structured care program at the outpatient clinic of Apollo Sugar at Raipur, India. Methods: This is a preliminary, prospective, single-center, observational study on T2DM patients from Jan 2018 to December 2018. Uncontrolled diabetes or patients with comorbid conditions with the duration of disease for more than one year and age ≥18 years and who gave consent to enroll in the program were included in the study. The structured care program is a 6 months program where patients were continuously engaged by counseling them on diabetes management- diet and exercise, self-monitoring of blood glucose, health interactions with the remote health coach through a mobile app. Baseline demographics and clinical data were collected at the time of enrollment and were followed up for 6 months. HbA1c reduction is the target measurement of this program. Descriptive statistics were used to analyze and report the data. A paired t-test is used to check the significant reduction in HbA1c from baseline to follow up Results: Total 102 patients were included in this study. Mean (SD) age was 50.7 (10.5) years, males were 78 (76%) and females were 24 (24%). The mean (SD) duration of diabetes and BMI were 7.9 (7.0) years and 27.5 (4.5) kg/m2 respectively. At the time of enrollment, patients were at mean HbA1c of 9.0(2.1)%, fasting (F) and post-prandial (PP) blood (BG) glucose was 194(68) mg/dL and 247(94) mg/dL respectively. Among these patients 38% had neuropathy and 15% had retinopathy as their complications. These patients were regularly followed up over the phone call to counsel on diabetes management with a healthy diet, exercise, self-monitoring of blood glucose, and medication compliance. After 6 months followup the HbA1c, FBG, and PPBG were 7.6 (1.5) %, 139 (50) mg/dL, and 196 (75) mg/dL, respectively with a significant mean reduction of 1.4%, 56 mg/dL, and 51 mg/dL (p &lt;0.001). Further analysis of glycemic outcomes between these patients on oral hypoglycemic agents (OHAs) and OHAs+insulin, the reduction in HbA1c (1.5%) was not significant. Conclusion: Our study demonstrates that a structured care program might bring a clinically significant glycemic control through tight adherence to SMBG, diet, exercise, and medication. To establish these results a study in large sample is in progress.

scholarly journals Scaling and enhancing data protection for web application data in accordance with PCI DSS, HIPAA/HITECH, FEDRAMP standards

2018 ◽  
Vol 20 (4) ◽  
Author(s):  
Михайло Олексійович Колпаков ◽  
Андрій Борисович Петренко
Keyword(s):  
Data Protection ◽  
Web Application ◽  
Pci Dss ◽  
Application Data
Sign in / Sign up

Export Citation Format

Share Document