scholarly journals Mobile Health Solutions for Hypertensive Disorders in Pregnancy: Scoping Literature Review (Preprint)

2017 ◽  
Author(s):  
Octavio Rivera-Romero ◽  
Alberto Olmo ◽  
Rocío Muñoz ◽  
Pablo Stiefel ◽  
María Luisa Miranda ◽  
...  
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Health Care Systems ◽  
Medical Professionals ◽  
Current Clinical Practice ◽  
Hypertensive Disorders ◽  
Resource Poor ◽  
Hypertensive Disorders In Pregnancy ◽  
Care Systems ◽  
Positive Results

BACKGROUND Hypertensive disorders are the most common complications during pregnancy, occurring in 5% to 11% of pregnancies; gestational hypertension and preeclampsia are the leading causes of perinatal and maternal morbidity and mortality, especially in low- and middle-income countries (LMIC) where maternal and perinatal mortality ratios are still high. Pregnant women with hypertensive disorders could greatly benefit from mobile health (mHealth) solutions as a novel way to identify and control early symptoms, as shown in an increasing number of publications in the field. Such digital health solutions may overcome access limiting factors and the lack of skilled medical professionals and finances commonly presented in resource-poor environments. OBJECTIVE The aim of this study was to conduct a literature review of mHealth solutions used as support in hypertensive disorders during pregnancy, with the objective to identify the most relevant protocols and prototypes that could influence and improve current clinical practice. METHODS A methodological review following a scoping methodology was conducted. Manuscripts published in research journals reporting technical information of mHealth solutions for hypertensive disorders in pregnancy were included, categorizing articles in different groups: Diagnosis and Monitoring, mHealth Decision Support System, Education, and Health Promotion, and seven research questions were posed to study the manuscripts. RESULTS The search in electronic research databases yielded 327 articles. After removing duplicates, 230 articles were selected for screening. Finally, 11 articles met the inclusion criteria, and data were extracted from them. Very positive results in the improvement of maternal health and acceptability of solutions were found, although most of the studies involved a small number of participants, and none were complete clinical studies. Accordingly, none of the reported prototypes were integrated in the different health care systems. Only 4 studies used sensors for physiological measurements, and only 2 used blood pressure sensors despite the importance of this physiological parameter in the control of hypertension. The reported mHealth solutions have great potential to improve clinical practice in areas lacking skilled medical professionals or with a low health care budget, of special relevance in LMIC, although again, no extensive clinical validation has been carried out in these environments. CONCLUSIONS mHealth solutions hold enormous potential to support hypertensive disorders during pregnancy and improve current clinical practice. Although very positive results have been reported in terms of usability and the improvement of maternal health, rigorous complete clinical trials are still necessary to support integration in health care systems. There is a clear need for simple mHealth solutions specifically developed for resource-poor environments that meet the United Nations Sustainable Development Goal (SDG); of enormous interest in LMIC.

scholarly journals Journey of the Patient With Melanoma: Understanding Resource Use and Bridging the Gap Between Dermatologist, Surgeon, and Oncologist in Different Health Care Systems

2019 ◽  
pp. 1-8
Author(s):  
Cássia Rita Pereira da Veiga ◽  
Claudimar Pereira da Veiga ◽  
Ana Paula Drummond-Lage ◽  
Alberto Julius Alves Wainstein ◽  
Andreia Cristina de Melo
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care Systems ◽  
Scientific Evidence ◽  
Health Resources ◽  
Medical Professionals ◽  
Public And Private ◽  
Patients With Cancer ◽  
Clinical Procedures ◽  
Care Systems

PURPOSE New scientific evidence has led to modifications in the clinical practice of handling melanoma. In health care systems, there is currently a wide variety of clinical procedures to treat cancer, and the various routes have different effects on the survival of patients with cancer. Thus, this article aimed to evaluate the journey of patients with melanoma in the public and private health care systems in Brazil from the viewpoint of different medical professionals involved in the diagnosis and treatment of the disease. The study also considers the resources used for the complete delivery cycle of health care at different stages of the evolution of melanoma. METHODS We conducted a behavioral study by applying a questionnaire to a group of medical professionals. A nonprobabilistic sampling method for convenience was used, justified by the heterogeneous national incidence and the limited availability of medical professionals who diagnose and treat melanoma. RESULTS The questionnaire was answered by 138 doctors, including doctors from the Brazilian states with the highest concentration of medical specialists and regions with a higher melanoma incidence. The results of this study have the potential to enrich our understanding of the reality of Brazilian health care systems and, at the same time, allow us to discuss the multiple ways in which professionals from diverse specialist fields understand and explain decision making in health care. CONCLUSION Health care decision making is complex and, among other factors, depends on the diversity of available health resources and the knowledge of which treatments provide the greatest benefit to patients and greatest value to the system as a whole. This work can inform debates and reflection that are applicable not only in Brazil, but also in various other countries with similar realities.

scholarly journals Mindful congruence, four noble truths and healing relationships

2018 ◽  
Vol 5 (1) ◽  
Author(s):  
Patricia Lynn Dobkin
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Compassion Fatigue ◽  
Health Care Professionals ◽  
Emotional Regulation ◽  
Health Care Systems ◽  
Buddhist Philosophy ◽  
Healing Relationships ◽  
Care Systems ◽  
Four Noble Truths

Amidst the commotion of constant changes in health care systems, budget cuts, burnout and compassion fatigue there are resilient clinicians who relieve suffering and promote healing in those who seek their care. This workshop will focus on how doctors, nurses, and allied health care professionals serve in this way while maintaining equanimity and sense of meaning in their work and personal lives.This 90-minute experiential-based workshop will be divided into three parts.First, Mindful Clinical Practice will be described using narratives from different health care professionals in various settings. Mindful Congruence will be defined, along with Satir’s four other communication stances.Second, how the Four Noble Truths stemming from Buddhist philosophy inform clinical practice will be discussed with an emphasis on the Eightfold Path to end suffering. Third, a model of Healing Relationships (Scott et al, 2008; 2009) will be used to help participants identify underlying processes contributing to the relational outcomes: hope, trust, and being known. An Appreciative Inquiry exercise will be used to enrich participants’ understanding of their own experiences of being healers in clinical encounters.If and how medicine may be a spiritual practice will be examined.At the end of the workshop participants will be able to: 1. Define Mindful Congruence.2. Understand how the Four Noble Truths from Buddhist philosophy inform clinical practice.3. See how meditation practice contributes to clinicians’ mindfulness and emotional regulation.4. Discern the competencies and processes underlying healing.

scholarly journals Mining Physicians’ Opinions on Social Media to Obtain Insights Into COVID-19: Mixed Methods Analysis

10.2196/19276 ◽  
2020 ◽  
Vol 6 (2) ◽  
pp. e19276 ◽  
Author(s):  
Abdullah Wahbeh ◽  
Tareq Nasralah ◽  
Mohammad Al-Ramahi ◽  
Omar El-Gayar
Keyword(s):  
Health Care ◽  
Social Media ◽  
Mixed Methods ◽  
Qualitative Analysis ◽  
Health Care Systems ◽  
Supervised Machine Learning ◽  
Machine Learning Techniques ◽  
Medical Professionals ◽  
Social Media Analytics ◽  
Care Systems

Background The coronavirus disease (COVID-19) pandemic is considered to be the most daunting public health challenge in decades. With no effective treatments and with time needed to develop a vaccine, alternative approaches are being used to control this pandemic. Objective The objective of this paper was to identify topics, opinions, and recommendations about the COVID-19 pandemic discussed by medical professionals on the Twitter social medial platform. Methods Using a mixed methods approach blending the capabilities of social media analytics and qualitative analysis, we analyzed COVID-19–related tweets posted by medical professionals and examined their content. We used qualitative analysis to explore the collected data to identify relevant tweets and uncover important concepts about the pandemic using qualitative coding. Unsupervised and supervised machine learning techniques and text analysis were used to identify topics and opinions. Results Data were collected from 119 medical professionals on Twitter about the coronavirus pandemic. A total of 10,096 English tweets were collected from the identified medical professionals between December 1, 2019 and April 1, 2020. We identified eight topics, namely actions and recommendations, fighting misinformation, information and knowledge, the health care system, symptoms and illness, immunity, testing, and infection and transmission. The tweets mainly focused on needed actions and recommendations (2827/10,096, 28%) to control the pandemic. Many tweets warned about misleading information (2019/10,096, 20%) that could lead to infection of more people with the virus. Other tweets discussed general knowledge and information (911/10,096, 9%) about the virus as well as concerns about the health care systems and workers (909/10,096, 9%). The remaining tweets discussed information about symptoms associated with COVID-19 (810/10,096, 8%), immunity (707/10,096, 7%), testing (605/10,096, 6%), and virus infection and transmission (503/10,096, 5%). Conclusions Our findings indicate that Twitter and social media platforms can help identify important and useful knowledge shared by medical professionals during a pandemic.

Perspective modification of medical education in the sphere of telemedicine in Ukraine based on experience gained during professional internships in Poland

2018 ◽  
Vol 14 (3) ◽  
Author(s):  
Ilona Michalik ◽  
Anna Kańtoch ◽  
Anna Petiurenko
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Health Care Systems ◽  
Health Care Facilities ◽  
Medical Professionals ◽  
Medical Specialties ◽  
Professional Activities ◽  
Medical Education System ◽  
Care Facilities ◽  
Care Systems

Abstract The processes of globalization and integration, as well as technologies and computerization, occurring in public life cause significant changes in all its spheres, especially in medicine. Nowadays, computerization of health-care facilities has become the norm of their development. However, rapid technological change requires the modernization of medical education system, revising the approaches to the training of competitive medical professionals who will able to adapt quickly to changes in the field of health care. The research issue concerns the processes of future medical professionals’ training. The importance of telemedicine in health-care systems of Ukraine and Poland is justified. It is suggested that the problem of telemedicine and e-health usage in the process of medical professionals’ training in Ukraine is not studied sufficiently and does not have practical consolidation. The didactic methodology of medical specialties students training for the use of telemedicine technologies in future professional activities is developed.

AI in resource-poor health care systems

Science ◽  
2019 ◽  
Vol 366 (6468) ◽  
pp. 966.16-968
Author(s):  
Gemma Alderton
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Poor Health ◽  
Resource Poor ◽  
Care Systems ◽  
Poor Health Care

scholarly journals Longevity of implantable cardioverter-defibrillators: implications for clinical practice and health care systems

EP Europace ◽  
2008 ◽  
Vol 10 (11) ◽  
pp. 1288-1295 ◽  
Author(s):  
M. Biffi ◽  
M. Ziacchi ◽  
M. Bertini ◽  
D. Sangiorgi ◽  
D. Corsini ◽  
...  
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Health Care Systems ◽  
Implantable Cardioverter Defibrillators ◽  
Care Systems ◽  
Cardioverter Defibrillators

scholarly journals Mining Physicians’ Opinions on Social Media to Obtain Insights Into COVID-19: Mixed Methods Analysis (Preprint)

2020 ◽  
Author(s):  
Abdullah Wahbeh ◽  
Tareq Nasralah ◽  
Mohammad Al-Ramahi ◽  
Omar El-Gayar
Keyword(s):  
Health Care ◽  
Social Media ◽  
Mixed Methods ◽  
Qualitative Analysis ◽  
Health Care Systems ◽  
Supervised Machine Learning ◽  
Machine Learning Techniques ◽  
Medical Professionals ◽  
Social Media Analytics ◽  
Care Systems

BACKGROUND The coronavirus disease (COVID-19) pandemic is considered to be the most daunting public health challenge in decades. With no effective treatments and with time needed to develop a vaccine, alternative approaches are being used to control this pandemic. OBJECTIVE The objective of this paper was to identify topics, opinions, and recommendations about the COVID-19 pandemic discussed by medical professionals on the Twitter social medial platform. METHODS Using a mixed methods approach blending the capabilities of social media analytics and qualitative analysis, we analyzed COVID-19–related tweets posted by medical professionals and examined their content. We used qualitative analysis to explore the collected data to identify relevant tweets and uncover important concepts about the pandemic using qualitative coding. Unsupervised and supervised machine learning techniques and text analysis were used to identify topics and opinions. RESULTS Data were collected from 119 medical professionals on Twitter about the coronavirus pandemic. A total of 10,096 English tweets were collected from the identified medical professionals between December 1, 2019 and April 1, 2020. We identified eight topics, namely actions and recommendations, fighting misinformation, information and knowledge, the health care system, symptoms and illness, immunity, testing, and infection and transmission. The tweets mainly focused on needed actions and recommendations (2827/10,096, 28%) to control the pandemic. Many tweets warned about misleading information (2019/10,096, 20%) that could lead to infection of more people with the virus. Other tweets discussed general knowledge and information (911/10,096, 9%) about the virus as well as concerns about the health care systems and workers (909/10,096, 9%). The remaining tweets discussed information about symptoms associated with COVID-19 (810/10,096, 8%), immunity (707/10,096, 7%), testing (605/10,096, 6%), and virus infection and transmission (503/10,096, 5%). CONCLUSIONS Our findings indicate that Twitter and social media platforms can help identify important and useful knowledge shared by medical professionals during a pandemic.

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