scholarly journals Smartphone and medical app usage among orthopedic and trauma surgery patients in Germany - a paper-based survey of the acceptance and prospective app requirements (Preprint)

2020 ◽  
Author(s):  
Florian Dittrich ◽  
Felix Reinecke ◽  
Marcel Dudda ◽  
Andreas Stang ◽  
Christina Polan ◽  
...  
Keyword(s):  
Medical Information ◽  
Trauma Surgery ◽  
The Elderly ◽  
Target Group ◽  
Subjective Perception ◽  
Mobile Web ◽  
Medical Apps ◽  
Medical App ◽  
Future Challenges ◽  
Orthopedic And Trauma Surgery

BACKGROUND Smartphones have become an essential part of everyday life and it is undeniable that apps offer enormous opportunities for dealing with future challenges in public health. Nevertheless, the exact patient requirements for medical apps in the field of orthopedic and trauma surgery are currently unknown. OBJECTIVE The aim of this study was to define target groups, evaluate patient requirements, potentials and pitfalls regarding medical apps specific for orthopedic and trauma surgery. METHODS A prospective multicenter study was conducted between August 2018 and December 2019 at a German trauma center and 3 trauma surgery/orthopedic practices. A paper-based survey consisting of 15 questions evaluated information regarding smartphone and medical app usage behavior. In addition, suggested app functions were rated using Likert scales. Descriptive statistics and binary log-binomial regression was performed. RESULTS A total of 1,055 questionnaires were included in the statistical analysis. A total of 89.57 % owned a smartphone. Ownership probability decreased with every decade of life and increased with a higher level of education. Medical information was obtained via mobile web access by 62.65% of participants; this correlated similarly to ownership in regard to age and educational level. Only 11.18% reported previous medical app usage; 3.50% received an app recommendation from a physician. More than half (56.30%) were unwilling to pay for a medical app. The highest rated app functions were information about medication, behavioral guidelines and medical record archival. An improved treatment experience through suggested app features was reported by 71.18%. CONCLUSIONS Mobile devices are a widely used source of information for medical content, but only a minority reports previous medical app usage. The main target group for medical apps in orthopedic and trauma surgery tends to be younger, what harbours the danger of excluding fringe groups especially the elderly. Education seems to be one of the most important pull factors to use smartphones or a mobile web connection to obtain health information. Medical apps, primarily focusing on an optimized patient education and flow of information, therefore seem to have the potential to support patients in health issues, at least in their subjective perception. For future target group-oriented app developments, further evidences on clinical application, feasibility, and acceptance of app usage are necessary, in order to avoid patient endangerment and limit socio-economic costs.

scholarly journals Anthropological analysis on recent covid-19 infection in Italy

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
V A Sironi ◽  
M A Riva
Keyword(s):  
Medical Information ◽  
National Level ◽  
The Elderly ◽  
Point Of View ◽  
Cognitive Distortion ◽  
Psychological Reactions ◽  
Foreign Countries ◽  
The Social ◽  
Informative Role ◽  
Globalized World

Abstract The recent epidemic caused by the Covid-19 virus, which originated in China and then spread rapidly, can rightly be defined as the real 'first' epidemic in the social era. In an increasingly globalized world other recent epidemics (but more circumscribed, even if severely more lethal, such as Ebola and Sars) have been experienced with less media and emotional involvement, while the recent epidemic due to the new coronavirus has generated deserving reactions of analysis from an anthropological and social point of view, rather than on a health aspect. In Italy the epidemic event provoked sometimes excessive and irrational psychological reactions (from an unjustified panic to an irresponsible underestimation) and a cognitive distortion on anthropological level (wrong perspective perception of the pathological event). It has also generated disproportionate social repercussions at national level (refusal of stay for subjects coming from the lands in which diseased people are present) and at international level (foreclosure of landing of Italian tourists in some foreign countries). There was also incorrect medical information (confusion between infected - asymptomatic and/or non-hospitalized paucisymptomatic -, real patients with important symptoms - hospitalized - and sometimes in need of intensive care, subjects - the elderly and carriers of other serious diseases - died not for but with the Covid-19 infection) generated and amplified also by the pounding informative role of the mass media and by the news (often inaccurate and generating fake-news) spread in real time through social media. Key messages Irrational reactions must be avoided. Correct medical information are indispensable.

scholarly journals Apps and Mobile Support Services in Canadian Academic Medical Libraries

2016 ◽  
Vol 37 (3) ◽  
Author(s):  
Tess Grynoch
Keyword(s):  
Mobile Apps ◽  
Mobile Services ◽  
Medical Apps ◽  
The Past ◽  
Academic Medical ◽  
Medical App ◽  
Wide Range ◽  
Medical Libraries ◽  
The Many ◽  
Mobile Medical Apps

Objective: To examine how Canadian academic medical libraries are supporting mobile apps, what apps are currently being provided by these libraries, and what types of promotion are being used. Methods: A survey of the library websites for the 17 medical schools in Canada was completed. For each library website surveyed, the medical apps listed on the website, any services mentioned through this medium, and any type of app promotion events were noted. When Facebook and Twitter accounts were evident, the tweets were searched and the past two years of Facebook posts scanned for mention of medical apps or mobile services/events. Results: All seventeen academic medical libraries had lists of mobile medical apps with a large range in the number of medical relevant apps (average=31, median= 23). A total of 275 different apps were noted and the apps covered a wide range of subjects. Five of the 14 Facebook accounts scanned had posts about medical apps in the past two years while 11 of the 15 Twitter accounts had tweets about medical apps. Social media was only one of the many promotional methods noted. Outside of the app lists and mobile resources guides, Canadian academic medical libraries are providing workshops, presentations, and drop-in sessions for mobile medical apps. Conclusion: While librarians cannot simply compare mobile services and resources between academic medical libraries without factoring in a number of other circumstances, librarians can learn from mobile resources strategies employed at other libraries, such as using research guides to increase medical app literacy.

scholarly journals A novel telerehabilitation with educational program for caregivers using telelecture is a feasible procedure for fall prevention in elderly people – A pilot study

2020 ◽  
Author(s):  
Kentaro Moriichi ◽  
Mikihiro Fujiya ◽  
Takanori Ro ◽  
Tetsuo Ota ◽  
Hitomi Nishimiya ◽  
...  
Keyword(s):  
Elderly People ◽  
Fall Prevention ◽  
Educational Program ◽  
Medical Information ◽  
The Elderly ◽  
Berg Balance Scale ◽  
University Hospital ◽  
Telemedicine System ◽  
Before And After ◽  
Clinical Trials Registry

Abstract Background: The importance of fall prevention rehabilitations has been well recognized. Recently, telerehabilitation was developed, however, there have been no reports on the use of telerehabilitation with direct support from specialists for fall prevention among the elderly. We herein reported telerehabilitation by carers educated by our novel educational program.Methods: Nine elderly people in two nursing homes were enrolled using our original criteria. Carers are educated with our educational program using telelecture system. Telerehabilitation was performed by carers following the instruction from rehabilitation specialists in Asahikawa Medical University using the telemedicine system every 2-4 weeks for three months. Carers were assessed with our original questionnaire before and after the telelecture. Berg Balance Scale (BBS), Timed Up & Go test (TUG test), Hand-held dynamometer (HHD) and Mini-Mental State Examination (MMSE) were assessed before and after telerehabilitation.Results: The average number of times to perform telerehabilitation in all institutes was 4.7. Levels of understanding of carers were significantly increased after the telelecture. No adverse event occurred during the study period. Median BBSs before and three months after telerehabilitation were 43 and 49, respectively. Those of TUG test, right and left HHD and MMSE were 17.89 and 18.53, 7.95 and 11.55, 9.85 and 13.20, and 16 and 19, respectively. All results were improved after telerehabilitation.Conclusions: Our telerehabilitation program exhibited significant effects in elderly people as well as levels of understanding rehabilitation of caregivers in the facilities for the elderly people safely.Trial registration: University Hospital Medical Information Network Clinical Trials Registry（UMIN-CTR）UMIN000041439, August 17th, 2020

Are We Ready to App?

2017 ◽  
pp. 69-83
Author(s):  
Sharidatul Akma Abu Seman ◽  
Ramayah T.
Keyword(s):  
Mobile Application ◽  
Medical Information ◽  
Tablet Computers ◽  
Apple Ios ◽  
Medical App ◽  
Health And Fitness ◽  
Human Healthcare

In Malaysia, adoption of the mobile application for smartphones and tablet computers are growing in number and are actively applied in healthcare. However, limited studies were found looking at mHealth app that is focusing on Malaysia context. This study aims to examine the current mHealth app that is available in Malaysia. This study also seeks to rank the pricing of top paid apps from two major platforms, Apple iOS, and Android PlayStore. In mid-2016, the authors overviewed the Medical app and Health and Fitness category from two dominant platforms; Apple iOS and Android Play Store. The only app that was related to human healthcare, described in Bahasa Malaysia or English, was examined. Most app that is designed specifically for Malaysia is informational apps, which provide information on healthcare and medical information. The study also reveals that most consumers in Malaysia are ready and are willing to pay for mHealth app. Majority of app price is between RM10.01 to RM25.

scholarly journals Uncertain Multiplicative Language Decision Method Based on Group Compromise Framework for Evaluation of Mobile Medical APPs in China

2020 ◽  
Vol 17 (8) ◽  
pp. 2858
Author(s):  
Junchang Li ◽  
Jiantong Zhang ◽  
Ye Ding
Keyword(s):  
Health Management ◽  
Medical Application ◽  
Assessment System ◽  
Medical Apps ◽  
Attribute Weight ◽  
Group Ranking ◽  
Medical App ◽  
Multiple Attribute ◽  
The Individual ◽  
Mobile Medical Apps

The mobile medical application (M-medical APP) can optimize medical service process and reduce health management costs for users, which has become an important complementary form of traditional medical services. To assist users including patients choose the ideal M-medical APP, we proposed a novel multiple attribute group decision making algorithm based on group compromise framework, which need not determine the weight of decision-maker. The algorithm utilized an uncertain multiplicative linguistic variable to measure the individual original preference to express the real evaluation information as much as possible. The attribute weight was calculated by maximizing the differences among alternatives. It determined the individual alternatives ranking according to the net flow of each alternative. By solved the 0–1 optimal model with the objective of minimizing the differences between individual ranking, the ultimate group compromise ranking was obtained. Then we took 10 well-known M-medical APPs in Chinese as an example, we summarized service categories provided for users and constructed the assessment system consisting of 8 indexes considering the service quality users are concerned with. Finally, the effectiveness and superiority of the proposed method and the consistency of ranking results were verified, through comparing the group ranking results of 3 similar algorithms. The experiments show that group compromise ranking is sensitive to attribute weight.

Clinical, Economic, and Organizational Impact of the Clinical Pharmacist in an Orthopedic and Trauma Surgery Department

2018 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Pierre Renaudin ◽  
Annabelle Coste ◽  
Yohan Audurier ◽  
Julie Berbis ◽  
François Canovas ◽  
...  
Keyword(s):  
Clinical Pharmacist ◽  
Trauma Surgery ◽  
Organizational Impact ◽  
Orthopedic And Trauma Surgery ◽  
Surgery Department

Systematic Analysis of Readability of Patient Information on Internet Pages from Departments for Trauma Surgery of German University Hospitals

2020 ◽  
Author(s):  
Simon Paul ◽  
Marc-Daniel Ahrend ◽  
Jan-Christoffer Lüers ◽  
Kersten Sven Roth ◽  
Peter P. Grimmiger ◽  
...  
Keyword(s):  
Patient Information ◽  
Text Comprehension ◽  
Information Transfer ◽  
Medical Information ◽  
Trauma Surgery ◽  
University Hospitals ◽  
Systematic Analysis ◽  
Large Populations ◽  
Search For Information ◽  
Spectrum Of Patients

Abstract Introduction The need-based information transfer in education as well as for the recruitment of patients becomes more and more relevant. Here, the internet has emerged as an increasingly important factor in recent years and therefore information pages on hospital homepages can be very helpful. However, it is known that basic text comprehension skills are lacking among large populations. Method The aim of the present study was to evaluate the readability of the patient information available on the websites of trauma departments of German university hospitals. For this purpose, a search for information material on 10 different diagnoses was carried out. Out of 360 texts possible, 185 were found and assigned to 2 superordinate thematic areas (emergency vs. elective operations), subjected to a systematic text analysis via software “Text-Lab” and rated using 5 known readability indices (Amstad, G-SMOG, LIX, HIX, WSTF). Results The indices used for both thematic complexes consistently showed poor readability, so that the texts only seem sufficiently comprehensible to readers with higher education. (Amstad: 21.4 ± 20.8; G-SMOG: 11.6 ± 2.0; WSTF 13.3 ± 2.1; LIX: 60.9 ± 7.6; HIX: 4.1 ± 3.2). Conclusion For the medical information provided by university hospitals, there is a clear need for improvement in order to make the adequate acquisition of knowledge accessible to a broader spectrum of patients.

scholarly journals Mobile Health in Urology: The Good, the Bad and the Ugly

2020 ◽  
Vol 9 (4) ◽  
pp. 1016 ◽  
Author(s):  
Nuno Pereira Azevedo ◽  
Stavros Gravas ◽  
Jean de la Rosette
Keyword(s):  
Mobile Health ◽  
Healthcare Services ◽  
Patient Privacy ◽  
Design Development ◽  
Public Authorities ◽  
Medical Apps ◽  
Scientific Organizations ◽  
Industry Standards ◽  
Medical App ◽  
Communication Devices

Our aim is to present the current position of mobile health (mHealth) and the delivery of healthcare services via mobile communication devices in urology. We conducted a literature review of urology mHealth papers on PubMed. Results indicate that mHealth is becoming ubiquitous in contemporary healthcare systems. Although its potential has been shown, urology lags behind other areas, representing just 0.1% of the 300,000 available medical apps in the Apple App Store and Google Play Store. Furthermore, there is a lack of expert healthcare professional involvement in app development. To avoid harm, it is critical that the scientific accuracy, patient privacy, and user safety of urology mHealth applications are assured. This is because there is no globally enforced medical app regulation, compulsory scientific guidelines, nor mandatory industry standards. Urologists, either individually or via scientific organizations, should have a pivotal position in the design, development, review, certification, and recommendation of apps. mHealth holds great potential in urology, as it can aid multiple stakeholders: citizens, patients, healthcare professionals, health organizations, and public authorities (e.g., Ministry of Health). Even though it is mostly used to improve existing medical activities at present, the future will include revolutionary and ground-breaking technology solutions. This innovative field should be seen by urologists as an opportunity to provide greater care to our patients and better tools and knowledge to our peers.

On the accuracy of a video-based drill-guidance solution for orthopedic and trauma surgery: preliminary results

2014 ◽  
Author(s):  
Jessica Magaraggia ◽  
Gerhard Kleinszig ◽  
Wei Wei ◽  
Markus Weiten ◽  
Rainer Graumann ◽  
...  
Keyword(s):  
Trauma Surgery ◽  
Preliminary Results ◽  
Orthopedic And Trauma Surgery

scholarly journals Influence of preoperative emotional state on postoperative pain following orthopedic and trauma surgery

2014 ◽  
Vol 22 (5) ◽  
pp. 785-791 ◽  
Author(s):  
Gemma Robleda ◽  
Amalia Sillero-Sillero ◽  
Teresa Puig ◽  
Ignasi Gich ◽  
Josep-E Baños
Keyword(s):  
Postoperative Pain ◽  
Emotional State ◽  
Trauma Surgery ◽  
Multivariate Logistic Regression Analysis ◽  
Emotional Factor ◽  
Predictive Risk Factor ◽  
Chi Squared ◽  
Orthopedic And Trauma Surgery ◽  
Student’S T ◽  
Predictive Risk

OBJECTIVES: to analyze the relationship between preoperative emotional state and the prevalence and intensity of postoperative pain and to explore predictors of postoperative pain.METHOD: observational retrospective study undertaken among 127 adult patients of orthopedic and trauma surgery. Postoperative pain was assessed with the verbal numeric scale and with five variables of emotional state: anxiety, sweating, stress, fear, and crying. The Chi-squared test, Student's t test or ANOVA and a multivariate logistic regression analysis were used for the statistical analysis.RESULTS: the prevalence of immediate postoperative pain was 28%. Anxiety was the most common emotional factor (72%) and a predictive risk factor for moderate to severe postoperative pain (OR: 4.60, 95% CI 1.38 to 15.3, p<0.05, AUC: 0.72, 95% CI: 0.62 to 0.83). Age exerted a protective effect (OR 0.96, 95% CI: 0.94-0.99, p<0.01).CONCLUSION: preoperative anxiety and age are predictors of postoperative pain in patients undergoing orthopedic and trauma surgery.

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