Trends of ECG Analysis and Diagnosis

2016 ◽  
pp. 185-210
Author(s):  
Swanirbhar Majumder ◽  
Saurabh Pal
Keyword(s):  
Atrial Fibrillation ◽  
Decision Making ◽  
Signal Processing ◽  
Biomedical Engineering ◽  
Biomedical Signal ◽  
Medical Practitioners ◽  
Physiological Signal ◽  
The Subject ◽  
Acquisition Technique

Any biomedical signal has the specialty in terms of the remoteness and nature of their source as an advantage over other natural signals. The analysis of biomedical signal plays a significant role in medical, and to be exact cardiological decision making, provided, the subject information is accurate and reliable. Normally experienced and trained medical practitioners, are known to study and know them better, but in this age of technology computerized expert system are better for long term continuous monitoring and automatic decision making. This led to evolution of biomedical engineering as a separate wing where parts of engineering under automatic signal processing and analysis studies are done. ECG being the most vital physiological signal, its acquisition technique, noise and artifacts elimination methodologies are discussed in this chapter. A brief description on ECG and its usage as biometric and analysis of Atrial Fibrillation is presented.

Expanding Foresight Evaluation Capacity

2019 ◽  
Vol 11 (4) ◽  
pp. 287-291
Author(s):  
Annette L. Gardner ◽  
Peter Bishop
Keyword(s):  
Decision Making ◽  
Professional Practice ◽  
Health Sector ◽  
Systematic Evaluation ◽  
Special Issue ◽  
Scenario Development ◽  
Evaluation Capacity ◽  
The Subject ◽  
Evaluation Approaches

The subject of evaluating foresight work has been around for almost as long as the professional practice itself has, but the field has done little to move closer to a systematic evaluation of its work. This special issue marks the second collection of articles on that project after a special issue of Futures in 2012 (Van Der Duin and Van Der Martin 2012). This issue takes a three-part approach: Part 1: evaluation of foresight in general and evaluation approaches and methods that can support designing an appropriate evaluation; Part 2: evaluation of foresight work in organizations and its impact on long-term thinking and decision-making; and Part 3: evaluation of specific foresight activities—an undergraduate learner foresight experience and a health sector scenario development exercise. The foreword ends with a reflection on the continuing issue of foresight and evaluation.

scholarly journals Understanding the barriers to using oral anticoagulants among long-term aspirin users with atrial fibrillation – A qualitative study

2020 ◽  
Author(s):  
Vanessa WS Ng ◽  
Chung-Wah Siu ◽  
Patrick KC Chiu ◽  
Carolyn PL Kng ◽  
Elizabeth Jamieson ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Decision Making ◽  
Stroke Prevention ◽  
Treatment Guidelines ◽  
Oral Anticoagulants ◽  
Structured Interview ◽  
Bleeding Complications ◽  
Suitable Alternative ◽  
Prevention Therapy

Abstract Background: Despite international treatment guidelines currently advocating oral anticoagulants (OACs) as the only appropriate stroke prevention therapy for patients with atrial fibrillation (AF) and evidence that OACs can greatly reduce the risk of stroke with similar risk of bleeding compared with aspirin, the underuse of OACs in patients with AF is common globally, especially in Asia. This study aimed to identify the barriers to prescribing and using OACs among long-term aspirin users with AF.Method: Face-to-face interviews were conducted with fourteen eligible patients with AF using a semi-structured interview guide. The interview recordings were transcribed verbatim and data was analyzed according to the principles of thematic analysis.Results: Five themes were developed: awareness of AF symptoms and diagnosis; knowledge and understanding of AF and stroke prevention therapy; role of decision-making in prescribing; willingness to switch from aspirin to OACs; and impact of OAC regimen on daily living. The majority of the patients were not aware of the symptoms and diagnosis of AF and only had a vague understanding of the illness and stroke prevention therapy, leading to their minimal involvement in decisions relating to their treatment. Some patients and their caregivers were particularly concerned about the bleeding complications from OACs and perceived aspirin to be a suitable alternative as they find the adverse effects from aspirin manageable and so preferred to remain on aspirin if switching to OACs was not compulsory. Lastly, the lifestyle modifications required when using warfarin, e.g. alternative dosing regimen, diet restriction, were seen as barriers to some patients and caregivers.Conclusion: The findings revealed patients’ knowledge gap in AF management which may be targeted using educational interventions to improve patients’ understanding of AF and its management and hence encourage active participation in the decision-making of their treatment in the future.

scholarly journals Understanding the Barriers to Using Oral Anticoagulants Among Long-Term Aspirin Users With Atrial Fibrillation – A Qualitative Study

2020 ◽  
Author(s):  
Vanessa WS Ng ◽  
Chung-Wah Siu ◽  
Patrick KC Chiu ◽  
Carolyn PL Kng ◽  
Elizabeth Jamieson ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Decision Making ◽  
Stroke Prevention ◽  
Treatment Guidelines ◽  
Oral Anticoagulants ◽  
Structured Interview ◽  
Bleeding Complications ◽  
Suitable Alternative ◽  
Prevention Therapy

Abstract Background: Despite international treatment guidelines currently advocating oral anticoagulants (OACs) as the only appropriate stroke prevention therapy for patients with atrial fibrillation (AF) and evidence that OACs can greatly reduce the risk of stroke with similar risk of bleeding compared with aspirin, the underuse of OACs in patients with AF is common globally, especially in Asia. This study aimed to identify the barriers to prescribing and using OACs among long-term aspirin users with AF.Method: Face-to-face interviews were conducted with fourteen eligible patients with AF using a semi-structured interview guide. The interview recordings were transcribed verbatim and data was analyzed according to the principles of thematic analysis.Results: Five themes were developed: awareness of AF symptoms and diagnosis; knowledge and understanding of AF and stroke prevention therapy; role of decision-making in prescribing; willingness to switch from aspirin to OACs; and impact of OAC regimen on daily living. The majority of the patients were not aware of the symptoms and diagnosis of AF and only had a vague understanding of the illness and stroke prevention therapy, leading to their minimal involvement in decisions relating to their treatment. Some patients and their caregivers were particularly concerned about the bleeding complications from OACs and perceived aspirin to be a suitable alternative as they find the adverse effects from aspirin manageable and so preferred to remain on aspirin if switching to OACs was not compulsory. Lastly, the lifestyle modifications required when using warfarin, e.g. alternative dosing regimen, diet restriction, were seen as barriers to some patients and caregivers. Conclusion: The findings revealed patients’ knowledge gap in AF management which may be targeted using educational interventions to improve patients’ understanding of AF and its management and hence encourage active participation in the decision-making of their treatment in the future.

scholarly journals Understanding the barriers to using oral anticoagulants among long-term aspirin users with atrial fibrillation – A qualitative study 

2020 ◽  
Author(s):  
Vanessa WS Ng ◽  
Chung-Wah Siu ◽  
Patrick KC Chiu ◽  
Carolyn PL Kng ◽  
Elizabeth Jamieson ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Decision Making ◽  
Stroke Prevention ◽  
Treatment Guidelines ◽  
Oral Anticoagulants ◽  
Structured Interview ◽  
Bleeding Complications ◽  
Suitable Alternative ◽  
Prevention Therapy

Abstract Background: Despite international treatment guidelines currently advocating oral anticoagulants (OACs) as the only appropriate stroke prevention therapy for patients with atrial fibrillation (AF) and evidence that OACs can greatly reduce the risk of stroke with similar risk of bleeding compared with aspirin, the underuse of OACs in patients with AF is common globally, especially in Asia. This study aimed to identify the barriers to prescribing and using OACs among long-term aspirin users with AF.Method: Face-to-face interviews were conducted with fourteen eligible patients with AF using a semi-structured interview guide. The interview recordings were transcribed verbatim and data was analyzed according to the principles of thematic analysis.Results: Five themes were developed: awareness of AF symptoms and diagnosis; knowledge and understanding of AF and stroke prevention therapy; role of decision-making in prescribing; willingness to switch from aspirin to OACs; and impact of OAC regimen on daily living. The majority of the patients were not aware of the symptoms and diagnosis of AF and only had a vague understanding of the illness and stroke prevention therapy, leading to their minimal involvement in decisions relating to their treatment. Some patients and their caregivers were particularly concerned about the bleeding complications from OACs and perceived aspirin to be a suitable alternative as they find the adverse effects from aspirin manageable and so preferred to remain on aspirin if switching to OACs was not compulsory. Lastly, the lifestyle modifications required when using warfarin, e.g. alternative dosing regimen, diet restriction, were seen as barriers to some patients and caregivers. Conclusion: The findings revealed patients’ knowledge gap in AF management which may be targeted using educational interventions to improve patients’ understanding of AF and its management and hence encourage active participation in the decision-making of their treatment in the future.

scholarly journals Understanding the barriers to using oral anticoagulants among long-term aspirin users with atrial fibrillation – a qualitative study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Vanessa W. S. Ng ◽  
Chung-Wah Siu ◽  
Patrick K. C. Chiu ◽  
Carolyn P. L. Kng ◽  
Elizabeth Jamieson ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Decision Making ◽  
Stroke Prevention ◽  
Treatment Guidelines ◽  
Oral Anticoagulants ◽  
Structured Interview ◽  
Bleeding Complications ◽  
Suitable Alternative ◽  
Prevention Therapy

Abstract Background Despite international treatment guidelines currently advocating oral anticoagulants (OACs) as the only appropriate stroke prevention therapy for patients with atrial fibrillation (AF) and evidence that OACs can greatly reduce the risk of stroke with similar risk of bleeding compared with aspirin, the underuse of OACs in patients with AF is common globally, especially in Asia. This study aimed to identify the barriers to prescribing and using OACs among long-term aspirin users with AF. Method Face-to-face interviews were conducted with fourteen eligible patients with AF using a semi-structured interview guide. The interview recordings were transcribed verbatim and data was analyzed according to the principles of thematic analysis. Results Five themes were developed: awareness of AF symptoms and diagnosis; knowledge and understanding of AF and stroke prevention therapy; role of decision-making in prescribing; willingness to switch from aspirin to OACs; and impact of OAC regimen on daily living. The majority of the patients were not aware of the symptoms and diagnosis of AF and only had a vague understanding of the illness and stroke prevention therapy, leading to their minimal involvement in decisions relating to their treatment. Some patients and their caregivers were particularly concerned about the bleeding complications from OACs and perceived aspirin to be a suitable alternative as they find the adverse effects from aspirin manageable and so preferred to remain on aspirin if switching to OACs was not compulsory. Lastly, the lifestyle modifications required when using warfarin, e.g. alternative dosing regimen, diet restriction, were seen as barriers to some patients and caregivers. Conclusion The findings revealed patients’ knowledge gap in AF management which may be targeted using educational interventions to improve patients’ understanding of AF and its management and hence encourage active participation in the decision-making of their treatment in the future.

scholarly journals Explore postgraduate biomedical engineering course integration between medical signal processing and drug development: example for drug development in brain disease

ADMET & DMPK ◽  
2016 ◽  
Vol 4 (2) ◽  
pp. 179 ◽  
Author(s):  
Yin Tian ◽  
Li Yang ◽  
Zhongyan Wang ◽  
Huiling Zhang ◽  
Wei Xu ◽  
...  
Keyword(s):  
Signal Processing ◽  
Drug Development ◽  
Biomedical Engineering ◽  
Knowledge Integration ◽  
Biomedical Signal Processing ◽  
Biomedical Signal ◽  
Course Integration ◽  
Engineering Programme ◽  
Medical Signal ◽  
Medical Signal Processing

<p class="PaperKeywordTitle">Medical signal processing is a compulsory course in our university’s undergraduate biomedical engineering programme. Recently, application of medical signal processing in supporting new drug development has emerged as a promising strategy in neurosciences. Here, we discuss the curriculum reformation in biomedical signal processing course in the context of drug development and application in central nervous system, with a particular emphasis in knowledge integration. </p>

scholarly journals Health Literacy and Atrial Fibrillation: Relevance and Future Directions for Patient-centred Care

2017 ◽  
Vol 12 (1) ◽  
pp. 52 ◽  
Author(s):  
Konstantinos N Aronis ◽  
Brittany Edgar ◽  
Wendy Lin ◽  
Maria Auxiliadora Parreiras Martins ◽  
Michael K Paasche-Orlow ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Decision Making ◽  
Health Literacy ◽  
Health Information ◽  
Stroke Prevention ◽  
Clinical Importance ◽  
Shared Decision ◽  
Future Directions ◽  
Symptom Monitoring

Atrial fibrillation (AF) is a common cardiac arrhythmia with significant clinical outcomes, and is associated with high medical and social costs. AF is complicated for patients because of its specialised terminology, long-term adherence, symptom monitoring, referral to specialty care, array of potential interventions and potential for adversity. Health literacy is a frequently under-recognised, yet fundamental, component towards successful care in AF. Health literacy is defined as the capacity to obtain, process and understand health information, and has had markedly limited study in AF. However, health literacy could contribute to how patients interpret symptoms, navigate care, and participate in treatment evaluation and decision-making. This review aims to summarise the clinical importance and essential relevance of health literacy in AF. We focus here on central aspects of AF care that are most related to self-care, including understanding the symptoms of AF, shared decision-making, adherence and anticoagulation for stroke prevention. We discuss opportunities to enhance AF care based on findings from the literature on health literacy, and identify important gaps. Our overall objective is to articulate the importance and relevance of integrating health literacy in the care of individuals with AF.

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