scholarly journals Developing the First Telenursing Service for COVID-19 Patients: The Experience of South Korea

2021 ◽  
Vol 18 (13) ◽  
pp. 6885
Author(s):  
Hyunsook Heo ◽  
Kyungyi Lee ◽  
Eunhee Jung ◽  
Hyangyuol Lee
Keyword(s):  
Mobile Application ◽  
Vital Signs ◽  
Signs And Symptoms ◽  
Healthcare Services ◽  
Community Treatment ◽  
Treatment Center ◽  
Educational Materials ◽  
Whole Process ◽  
Degree Of Satisfaction ◽  
Electronic Questionnaires

This study aimed to examine the process of establishing a telenursing service for COVID-19 patients with mild or no symptoms admitted to a community treatment center (CTC). The process of establishing the service was reviewed, and the degree of satisfaction with the provided service was investigated based on the medical records the patients submitted at their discharge from the CTC. A total of 113 patients were admitted; the patients themselves entered the self-measured vital signs and symptoms of COVID-19 infection to the electronic questionnaires and mobile application. The nurses implemented remote nursing based on the patients’ input data. The educational materials, including the video for self-measuring vital signs and the living guidelines, were prepared and arranged in advance. The telenursing protocol regarding the whole process from the patients’ admission to their discharge was used and applied to five other CTCs. The non-contact counseling service’s satisfaction and convenience scores were 4.65 points and 4.62 points, respectively, out of 5 points. The non-contact nursing counseling service played an important role in monitoring patients’ medical conditions during the spread of COVID-19. This experience of establishing telenursing services to the CTC provides a clear direction to innovate healthcare services in future disasters.

IoT Based Pulse Oximeter

2021 ◽  
Vol 9 (8) ◽  
pp. 2946-2951
Author(s):  
G Sidhartha
Keyword(s):  
Heart Rate ◽  
Signal Processing ◽  
Oxygen Saturation ◽  
Data Transmission ◽  
Pulse Oximeter ◽  
Mobile Application ◽  
Preventive Measures ◽  
Vital Signs ◽  
Home Treatment ◽  
Portable Devices

Abstract: In recent times, we have realized the importance of vital signs such as Oxygen saturation and heart rate i.e beats per minute (BPM) due to the covid-19 situation worldwide. SpO2 and BPM are being used as preliminary indicators for testing a person’s health, the drop in the oxygen saturation is perceived as one of the symptoms of a person suffering from coronavirus. Oximeters are portable devices that are used to measure the SpO2 and BPM of a person. Timely measurements of oxygen saturation can aid in taking preventive measures. This paper discusses the construction and development of an IoT-based pulse oximeter that is capable of transmitting the reading obtained to any remote location wirelessly. The proposed system uses Arduino as the microcontroller which is used for signal processing and Esp-01 as the Wifi platform to enable remote data transmission. The data is communicated remotely through Blynk mobile application. This project is aimed at reducing the manual effort undergone in regularly updating the oxygen saturation to the doctor, in the case of a person undergoing home treatment. Though an oximeter is not a screening te st, it is a primary indicator of a person’s health. Keywords: Heart rate, SpO2, IoT, Arduino, BLYNK server, Red, IR.

scholarly journals Real-Time Heart Pulse Monitoring Technique Using Wireless Sensor Network and Mobile Application

2018 ◽  
Vol 8 (6) ◽  
pp. 5118 ◽  
Author(s):  
Nabeel Salih Ali ◽  
Zaid Abdi Alkaream Alyasseri ◽  
Abdulhussein Abdulmohson
Keyword(s):  
Real Time ◽  
Mobile Application ◽  
Electronic Circuit ◽  
Healthcare Services ◽  
Wireless Sensor ◽  
Sensor Technology ◽  
Medical Monitoring ◽  
Monitoring Technique ◽  
Arduino Microcontroller ◽  
User Friendly

Wireless Sensor Networks (WSNs) for healthcare have emerged in the recent years. Wireless technology has been developed and used widely for different medical fields. This technology provides healthcare services for patients, especially who suffer from chronic diseases. Services such as catering continuous medical monitoring and get rid of disturbance caused by the sensor of instruments. Sensors are connected to a patient by wires and become bed-bound that less from the mobility of the patient. In this paper, proposed a real-time heart pulse monitoring system via conducted an electronic circuit architecture to measure Heart Pulse (HP) for patients and display heart pulse measuring via smartphone and computer over the network in real-time settings. In HP measuring application standpoint, using sensor technology to observe heart pulse by bringing the fingerprint to the sensor via used Arduino microcontroller with Ethernet shield to connect heart pulse circuit to the internet and send results to the web server and receive it anywhere. The proposed system provided the usability by the user (user-friendly) not only by the specialist. Also, it offered speed andresults accuracy, the highest availability with the user on an ongoing basis, and few cost.

scholarly journals Personal Health Monitoring with Mobile Application Based on Blockchain Technologies

2021 ◽  
Vol 110 ◽  
pp. 05001
Author(s):  
Nataliya Apatova ◽  
Oleg Korolyov ◽  
Sergey Ivanov
Keyword(s):  
Health Monitoring ◽  
Mobile Application ◽  
Vital Signs ◽  
Integrated Approach ◽  
Modern Medicine ◽  
Personal Health ◽  
Subjective Data ◽  
Monitoring Applications ◽  
Personal Health Monitoring ◽  
Official Data

Personal health monitoring is especially necessary in a pandemic of COVID19 and based on objective and subjective data. Modern medicine uses numerous diagnostic devices, many of which are for personal health monitoring. Applications for mobile phones are becoming more widespread, they make a possibility constantly monitor vital signs for a person. However, the consolidation into a single personalized database of information on daily mobile monitoring and examination results from various doctors in various medical organizations not yet carried out. Proposed to build a blockchain from this data and results of data analysis add subjective sensations and indicators to it, which clarified during the conversation with the doctor and not always fully and correctly transmitted by the patient. Using an integrated approach to personal health monitoring, building a blockchain from official data and personal objective and subjective indicators makes it possible to identify at the early stages of the disease, to have a complete and reliable picture of the state of health.

scholarly journals Operation and management of a community treatment center using telemedicine for foreign patients with mild COVID-19 symptoms

Medicine ◽  
2021 ◽  
Vol 100 (47) ◽  
pp. e27948
Author(s):  
Han Bit Kim ◽  
Sangsoo Han ◽  
Heejun Shin ◽  
Young Hwan Lee ◽  
Kyung Min Lee ◽  
...  
Keyword(s):  
Community Treatment ◽  
Treatment Center ◽  
Operation And Management

scholarly journals Epilepsy in Children: From Diagnosis to Treatment with Focus on Emergency

2019 ◽  
Vol 8 (1) ◽  
pp. 39 ◽  
Author(s):  
Carmelo Minardi ◽  
Roberta Minacapelli ◽  
Pietro Valastro ◽  
Francesco Vasile ◽  
Sofia Pitino ◽  
...  
Keyword(s):  
Positive Family History ◽  
Vital Signs ◽  
Pediatric Intensive Care ◽  
Early Death ◽  
Signs And Symptoms ◽  
Neural Cells ◽  
Smoking In Pregnancy ◽  
Multi Stage ◽  
Adequate Dosage ◽  
Children First

Seizures are defined as a transient occurrence of signs and symptoms due to the abnormal, excessive, or synchronous neuronal activity in the brain characterized by abrupt and involuntary skeletal muscle activity. An early diagnosis, treatment, and specific medical support must be performed to prevent Status Epilepticus (SE). Seizure onset, especially in the child population, is related to specific risk factors like positive family history, fever, infections, neurological comorbidity, premature birth, mother’s alcohol abuse, and smoking in pregnancy. Early death risk in children without neurological comorbidity is similar to the general population. Diagnosis is generally based on the identification of continuous or recurrent seizures but Electroencephalogram (EEG) evaluation could be useful if SE condition is suspected. The main goal of therapy is to counteract the pathological mechanism which occurs in SE before neural cells are irreversibly damaged. According to the latest International Guidelines and Recommendations of seizure related diseases, a schematic and multi-stage pharmacological and diagnostic approach is proposed especially in the management of SE and its related causes in children. First measures should focus on early and appropriate drugs administration at adequate dosage, airway management, monitoring vital signs, Pediatric Intensive Care Unit (PICU) admission, and management of parent anxiety.

scholarly journals Mobile Application Based Modified Screening and Assessment Tools for Children with Autism

2019 ◽  
Vol 13 (08) ◽  
pp. 159
Author(s):  
Arpita Mazumdar ◽  
Biswajoy Chatterjee ◽  
Mallika Banerjee ◽  
Irfan H Bhati
Keyword(s):  
Mobile Application ◽  
Screening Tool ◽  
Children With Autism ◽  
Assessment Tools ◽  
Practical Implementation ◽  
Indian Children ◽  
Whole Process ◽  
Behavioural Assessment ◽  
Improve Accuracy ◽  
Assessment Scales

<p class="0abstract"><span lang="EN-US">The researchers have focused on mobile application of screening tool to profile a child according to the degree of autism as per Indian Scale for Assessment of Autism (ISAA) with some modification. The work also emphasizes on practical implementation of various educational assessment tools viz. Indian Portage guide, BASIC-MR (Behavioural Assessment Scales for Indian Children with Mental Retardation) Part A, (FACP) Functional Assessment Checklist for Programming to assess children with autism in form of mobile application. The aim of this study is to enhance easiness, to improve accuracy, to monitor the child's progress and to make the whole process a time efficient one.</span></p>

scholarly journals Characteristics of non-conveyed patients in emergency medical services (EMS): a one-year prospective descriptive and comparative study in a region of Sweden

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Erik Höglund ◽  
Magnus Andersson-Hagiwara ◽  
Agneta Schröder ◽  
Margareta Möller ◽  
Emma Ohlsson-Nevo
Keyword(s):  
Emergency Medical Services ◽  
Vital Signs ◽  
Signs And Symptoms ◽  
Emergency Department Patient ◽  
Medical Services ◽  
Men And Women ◽  
Safety Issues ◽  
Levels Of Care ◽  
Emergency Medical ◽  
Number Of Patients

Abstract Background There has been an increasing demand for emergency medical services (EMS), and a growing number of patients are not conveyed; i.e., they are referred to levels of care other than ambulance conveyance to the emergency department. Patient safety issues have been raised regarding the ability of EMS to decide not to convey patients. To improve non-conveyance guidelines, information is needed about patients who are not conveyed by EMS. Therefore, the purpose of this study was to describe and compare the proportion and characteristics of non-conveyed EMS patients, together with assignment data. Methods A descriptive and comparative consecutive cohort design was undertaken. The decision of whether to convey patients was made by EMS according to a region-specific non-conveyance guideline. Non-conveyed patients’ medical record data were prospectively gathered from February 2016 to January 2017. Analyses was conducted using the chi-squared test, two-sample t test, proportion test and Mann-Whitneys U-test. Results Out of the 23,250 patients served during the study period, 2691 (12%) were not conveyed. For non-conveyed adults, the most commonly used Emergency Signs and Symptoms (ESS) codes were unspecific symptoms/malaise, abdomen/flank/groin pain, and breathing difficulties. For non-conveyed children, the most common ESS codes were breathing difficulties and fever of unclear origin. Most of the non-conveyed patients had normal vital signs. Half of all patients with a designated non-conveyance level of care were referred to self-care. There were statistically significant differences between men and women. Conclusions Fewer patients were non-conveyed in the studied region compared to national and international non-conveyance rates. The differences seen between men and women were not of clinical significance. Follow-up studies are needed to understand what effect patient outcome so that guidelines might improve.

scholarly journals Evidence and Recommendations on the Use of Telemedicine for the Management of Arterial Hypertension

Hypertension ◽  
2020 ◽  
Vol 76 (5) ◽  
pp. 1368-1383 ◽  
Author(s):  
Stefano Omboni ◽  
Richard J. McManus ◽  
Hayden B. Bosworth ◽  
Lucy C. Chappell ◽  
Beverly B. Green ◽  
...  
Keyword(s):  
Healthcare Professionals ◽  
Vital Signs ◽  
Healthcare Services ◽  
Hypertension Management ◽  
Team Physician ◽  
Video Consultation ◽  
Ideal Approach ◽  
Healthcare Model ◽  
Automated Feedback ◽  
The Ideal

Telemedicine allows the remote exchange of medical data between patients and healthcare professionals. It is used to increase patients’ access to care and provide effective healthcare services at a distance. During the recent coronavirus disease 2019 (COVID-19) pandemic, telemedicine has thrived and emerged worldwide as an indispensable resource to improve the management of isolated patients due to lockdown or shielding, including those with hypertension. The best proposed healthcare model for telemedicine in hypertension management should include remote monitoring and transmission of vital signs (notably blood pressure) and medication adherence plus education on lifestyle and risk factors, with video consultation as an option. The use of mixed automated feedback services with supervision of a multidisciplinary clinical team (physician, nurse, or pharmacist) is the ideal approach. The indications include screening for suspected hypertension, management of older adults, medically underserved people, high-risk hypertensive patients, patients with multiple diseases, and those isolated due to pandemics or national emergencies.

scholarly journals Investigating the critical elements and psychosocial outcomes of Youth Flexible Assertive Community Treatment: a study protocol for an observational prospective cohort study

BMJ Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. e035146 ◽  
Author(s):  
Marieke Broersen ◽  
Daan H M Creemers ◽  
Nynke Frieswijk ◽  
Ad A Vermulst ◽  
Hans Kroon
Keyword(s):  
Treatment Outcomes ◽  
Assertive Community Treatment ◽  
Psychosocial Functioning ◽  
Prospective Cohort ◽  
Psychiatric Treatment ◽  
Healthcare Services ◽  
Community Treatment ◽  
Growth Curve Analysis ◽  
Care Services ◽  
Model Fidelity

IntroductionWhen adolescents experience complex psychiatric and social problems, numerous healthcare services usually become involved. In these cases, fragmentation of care services is a risk that often results in both ineffective care and in patients disengaging from care services. To address these issues, Youth Flexible Assertive Community Treatment (Youth Flexible ACT) was developed in the Netherlands. This client-centred service delivery model aims to tackle the fragmented care system by providing psychiatric treatment and support in a flexible and integrated manner. While Youth Flexible ACT is gaining in popularity, the effectiveness of the care model remains largely unexamined.Methods and analysisHere, we present an observational prospective cohort (2017–2021) in which a broad range of treatment outcomes will be monitored. The primary aim of the study is to examine change in treatment outcomes over the course of the Flexible ACT care. The secondary aim is to examine the association between (elements of) Youth Flexible ACT model fidelity and treatment outcomes. An estimated total number of 200 adolescents who receive care from one of the 16 participating Youth Flexible ACT teams will be included in the study. Participants will be asked to complete assessments at four time points in 6-month intervals, resulting in a study duration of 18 months. Latent growth curve analysis will be conducted to examine change in psychosocial functioning over time and its relation to model fidelity.Ethics and disseminationThis study received ethical approval from Trimbos Ethics Committee (201607_75-FACT2). This approval applies for all participating institutions. The results of the study will be reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology statement. Results will be disseminated via peer-reviewed academic journals and presentations at conferences. In addition, results will be made available for participating sites, funders and researchers.

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