scholarly journals Monitoring Sleep Changes via a Smartphone App in Bipolar Disorder: Practical Issues and Validation of a Potential Diagnostic Tool

2021 ◽  
Vol 12 ◽  
Author(s):  
Frederike T. Fellendorf ◽  
Carlo Hamm ◽  
Nina Dalkner ◽  
Martina Platzer ◽  
Matteo C. Sattler ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Early Warning ◽  
Sleep Disturbances ◽  
Warning Signs ◽  
Smartphone App ◽  
Warning Sign ◽  
Early Warning Signs ◽  
Early Signs ◽  
Falling Asleep ◽  
Waking Up

Background: Sleep disturbances are common early warning signs of an episode of bipolar disorder, and early recognition can favorably impact the illness course. Symptom monitoring via a smartphone app is an inexpensive and feasible method to detect an early indication of changes such as sleep. The study aims were (1) to assess the acceptance of apps and (2) to validate sleeping times measured by the smartphone app UP!.Methods:UP! was used by 22 individuals with bipolar disorder and 23 controls. Participants recorded their time of falling asleep and waking-up using UP! for 3 weeks. Results were compared to a validated accelerometer and the Pittsburgh Sleep Quality Index. Additionally, participants were interviewed regarding early warning signs and their feedback for apps as monitoring tools in bipolar disorder (NCT03275714).Results: With UP!, our study did not find strong reservations concerning data protection or continual smartphone usage. Correlation analysis demonstrates UP! to be a valid tool for measuring falling asleep and waking-up times.Discussion: Individuals with bipolar disorder assessed the measurement of sleep disturbances as an early warning sign with a smartphone as positive. The detection of early signs could change an individual's behavior and strengthen self-management. The study showed that UP! can be used to measure changes in sleep durations accurately. Further investigation of smartphone apps' impact to measure other early signs could significantly contribute to clinical treatment and research in the future through objective, continuous, and individual data collection.

scholarly journals MARSIPAN-based Early Warning Signs System: A full Audit cycle in the Inpatient Eating Disorders Ward

2019 ◽  
Author(s):  
Konstantinos Ioannidis ◽  
Gabriella Lewis ◽  
Jane Waterston ◽  
Carol Connolly ◽  
Felix Clay ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Early Warning ◽  
Warning Signs ◽  
Warning Sign ◽  
Design Problems ◽  
System A ◽  
Early Warning Signs ◽  
Early Warning Sign ◽  
Audit Cycle ◽  
Future Work

Aims and method: We aimed to evaluate the MARSIPAN-guidance-adapted Early Warning Sign system (MARSI-MEWS) in respect to clinical governance standards for accuracy and completion. We performed a full audit cycle; between audit rounds, we addressed intrinsic information design problems related to the form in operation and provided guidance to staff on how to use this specialized tool. Result: Overall completeness of recording and scoring of MARSI-MEWS improved from 82.0% to 99.5% (χ2, p<0.001). The accuracy of MARSI-MEWS scoring improved from 80% to 93% (χ2, p<0.001). False recording of diastolic blood pressure dropped from 98% to 0% (χ2, p<0.001). Clinical implication: This result suggests that the MARSI MEWS track-and-trigger system is suitable for use in inpatient eating disorders ward in regard to its completeness and accuracy standards. Specific training for staff might be essential in order to complete the tool effectively, and the validity of the tool should be tested in future work.

scholarly journals Early Warning Signs of Project Failure

2018 ◽  
Vol 203 ◽  
pp. 02008 ◽  
Author(s):  
Idris Othman ◽  
Siti Norfarahhanim Ghani ◽  
Hisham Mohamad ◽  
Wesam Alalou ◽  
Nasir Shafiq
Keyword(s):  
Early Warning ◽  
Warning Signs ◽  
Warning Sign ◽  
Management Tools ◽  
Project Failure ◽  
Project Assessment ◽  
Early Warning Signs ◽  
Early Warning Sign ◽  
Cause Of Failure ◽  
Tools And Techniques

Despite the improvement in utilization of project management tools and techniques over the years, there are still many projects failed to meet their objectives. Early warning signs becomes one of the concepts used to detect the potential cause of failure in a project. Early warning is defined by signals, which can be seen variously as an expression, indication, a proof, or a sign of existence of some future negative issues. In recent years, several researches regarding early warning signs have been proposed by many authors, varying from project assessment stage in detecting the signs, methodology in conduction early warning sign research and the type of the projects tested. This article presents a review of related work on early warning signs of project failure to give conceptual insights on what early warning is.

Clinical and demographic features associated with the detection of early warning signs in bipolar disorder

2013 ◽  
Vol 145 (3) ◽  
pp. 336-340 ◽  
Author(s):  
Tania Perich ◽  
Philip B. Mitchell ◽  
Colleen Loo ◽  
Dusan Hadzi-Pavlovic ◽  
Gloria Roberts ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Early Warning ◽  
Warning Signs ◽  
Early Warning Signs ◽  
Demographic Features

The investigation of early warning signs of aggression in forensic patients by means of the ‘Forensic Early Signs of Aggression Inventory’

2012 ◽  
Vol 22 (11-12) ◽  
pp. 1550-1558 ◽  
Author(s):  
Frans AJ Fluttert ◽  
Berno Van Meijel ◽  
Stål Bjørkly ◽  
Mirjam Van Leeuwen ◽  
Mieke Grypdonck
Keyword(s):  
Early Warning ◽  
Warning Signs ◽  
Forensic Patients ◽  
Early Warning Signs ◽  
Early Signs

Journey towards best practices in acting on early warning signs in complex projects within a Russian context

2015 ◽  
Vol 8 (4) ◽  
pp. 828-843 ◽  
Author(s):  
Gulnara Sharaborova ◽  
Derek H.T. Walker ◽  
Guinevere Gilbert
Keyword(s):  
Early Warning ◽  
Point Of View ◽  
Warning Signs ◽  
Theory And Practice ◽  
Doctoral Study ◽  
Content Type ◽  
Early Warning Signs ◽  
Complex Projects ◽  
Research Findings ◽  
Phd Thesis

Purpose – The purpose of this paper is to provide a summary report and reflect on a recently passed PhD thesis (Sharaborova, 2014b) related to project management topics. Design/methodology/approach – This paper focussed on narrative reflection upon the completed doctoral journey. Findings – This paper presents the thesis findings, the research models, the guide in dealing with the early warning signs that developed as a result of this research and the contribution made to theory and practice. Research limitations/implications – Limitations of the research and the perspectives of the further diffusion of the research findings are considered. Originality/value – This TRN is a PhD candidate’s point of view as well as the opinions of the scientific research supervisors about the doctoral study and its outcome. The paper could be useful for novice researchers who wish to conduct their research and did not yet make a decision.

Early Warning Signs

Orthopedics ◽  
2005 ◽  
Vol 28 (10) ◽  
pp. 1147-1147
Author(s):  
Charles Sorbie
Keyword(s):  
Early Warning ◽  
Warning Signs ◽  
Early Warning Signs
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