Health Professional ‘Web Based Conversational Learning’ on Unusual Forms of Lupus

This article illustrates a web-based conversational learning system termed, “Virtual Grand Rounds in Dermatology” (VGRD), that was developed by two dermatologist colleagues from the United States and Malaysia, respectively, over the past decade. Two blog posts discussing the diagnostic uncertainty around possible dermatological manifestations of lupus are highlighted along with a few conversational comments from other health professionals. The posts, as they appear on VGRD are presented verbatim and illustrate a health professional narrated website that relies heavily on images and pattern recognition. We show that health professional learning may thrive on feedback from colleagues, even if minimal.

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Health Professional ‘Web Based Conversational Learning’ on Unusual Forms of Lupus

Clinical Solutions and Medical Progress through User-Driven Healthcare ◽

10.4018/978-1-4666-1876-3.ch008 ◽

2013 ◽

pp. 79-84

Author(s):

David Elpern ◽

Henry Foong

Keyword(s):

United States ◽

Health Professional ◽

Professional Learning ◽

Health Professionals ◽

The United States ◽

Learning System ◽

Web Based ◽

Diagnostic Uncertainty ◽

Conversational Learning ◽

Grand Rounds

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Association between food insecurity and access to a mental health professional: cross-sectional analysis of NHANES 2007–2014

BMC Public Health ◽

10.1186/s12889-021-10818-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Nina Camille Burruss ◽

Marina Girgis ◽

Karen Elizabeth Green ◽

Lingyi Lu ◽

Deepak Palakshappa

Keyword(s):

Mental Health ◽

Health Professional ◽

Food Insecurity ◽

Mental Health Professional ◽

The United States ◽

Bivariate Analysis ◽

Cross Sectional ◽

The Past ◽

Cross Sectional Analysis ◽

Sectional Analysis

Abstract Background To determine if individuals with food insecurity (FI) were less likely to have seen a mental health professional (MHP) within the past year than individuals without FI. Methods This is a cross-sectional analysis of data from the National Health and Nutrition Examination Survey (NHANES) conducted in the United States between 2007 and 2014. All participants 20 years of age or older were eligible for this study. We excluded participants who were pregnant, missing FI data, or missing data from the Patient Health Questionnaire (PHQ-9). The primary outcome was self-reported contact with a MHP in the past 12 months. We used multivariable logistic regression models to test the association between FI and contact with a MHP, controlling for all demographic and clinical covariates. Results Of the 19,789 participants, 13.9% were food insecure and 8.1% had major depressive disorder (MDD). In bivariate analysis, participants with FI were significantly more likely to have MDD (5.3% vs 2.8%, p < 0.0001) and to have been seen by a MHP in the preceding 12 months (14.0% vs 6.9%, p < 0.0001). In multivariable models, adults with FI had higher odds of having seen a MHP (OR = 1.32, CI: 1.07, 1.64). Conclusions This study demonstrates that individuals with FI were significantly more likely to have seen a MHP in the preceding 12 months compared to individuals without FI. Given the growing interest in addressing unmet social needs in healthcare settings, this data suggests that visits with MHPs may be a valuable opportunity to screen for and intervene on FI.

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Cuba and the Covid-19 pandemic

Theory & Struggle ◽

10.3828/ts.2021.12 ◽

2021 ◽

Vol 122 (1) ◽

pp. 118-131

Author(s):

Bob Oram

Keyword(s):

Public Health ◽

United States ◽

Health System ◽

Health Professionals ◽

The United States ◽

The Past ◽

The Uk ◽

Universal Health

For the UK struggling to deal with the Covid-19 pandemic, the experience of Cuba’s Ministry of Public Health over the past six decades provides the clearest case for a single, universal health system constituting an underlying national grid dedicated to prevention and care; an abundance of health professionals, accessible everywhere; a world-renowned science and biotech capability; and an educated public schooled in public health. All this was achieved despite being under a vicious blockade by the United States for all of that time.

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Design and Development of a Web-based Student Screening Module as Part of a Personalized Learning System

TEM Journal ◽

10.18421/tem103-58 ◽

2021 ◽

pp. 1454-1460

Author(s):

Pavel Zlatarov ◽

Ekaterina Ivanova ◽

Galina Ivanova ◽

Julia Doncheva

Keyword(s):

Personalized Learning ◽

Learning Systems ◽

Learning System ◽

Practical Implementation ◽

Design Development ◽

Web Based ◽

The Past ◽

Development Level ◽

Recent Developments ◽

E Learning

Various researchers, institutions and companies have been increasingly working on and using e-learning systems in the past. However, with the recent developments, the demand for learning systems that can adapt to learners’ need and development level has risen considerably. A lot of learning from a distance requires new approaches in teaching, It is more important than ever for teachers to be able to accurately test students’ knowledge, determine the appropriate level of difficulty and adjust content accordingly. This paper describes the design, development and use of a web-based application used to prepare tests for students and determine their level as a module of an integrated personalized learning system. Results from a practical implementation of the system are also discussed.

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Applications and Evaluation of the IRIS Earthquake Browser: A Web-Based Tool That Enables Multidimensional Earthquake Visualization

Seismological Research Letters ◽

10.1785/0220190386 ◽

2020 ◽

Vol 91 (5) ◽

pp. 2922-2935

Author(s):

Danielle F. Sumy ◽

Russ Welti ◽

Michael Hubenthal

Keyword(s):

Visual Display ◽

The United States ◽

Ease Of Use ◽

Survey Respondent ◽

User Survey ◽

Web Based ◽

The Past ◽

Mexico Earthquake ◽

Real Earthquake ◽

Tectonic Boundaries

Abstract The Incorporated Research Institutions for Seismology Earthquake Browser (IEB; see Data and Resources) is a web-based tool that enables anyone to query an earthquake database composed of over five million events recorded over the past 50 yr. The IEB visitor can query on earthquake magnitude, depth, timing, and location and can visually display the results in 2D map view or as an interactive pseudo 3D view. The user can toggle features such as plate tectonic boundaries, terrain or satellite mapping, and zoom to place the results in a geologic or geopolitical context and add visual appeal. To better understand who visits the IEB and why, to include information on demographics and how users perceive the IEB functionality and ability to meet their needs, we conducted a pop-up user survey on the IEB from 25 January to 21 February 2018. We received 495 useable responses from 58 countries, with 40% of the total respondents from the United States. The largest demographic consists of interested citizens who are 55 yr of age or older and have a high school education. We also find that visitors come to the IEB to learn about earthquakes for two main reasons: for their own personal knowledge or because expanding their knowledge is important to their research or work in a professional context. We also find a dramatic increase in survey respondent activity following the 16 February 2018 M 7.2 Oaxaca, Mexico, earthquake, with many respondents interested in finding more information about recent earthquake events that affect them or their family. Our observations indicate that users are successful and satisfied with the ease of use and amount of time spent on the IEB to find answers to their questions about earthquakes. The most beneficial feature of the IEB as identified by survey respondents is the spatiotemporal visual display of real earthquake data.

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An implementation pilot of the MindBalance web-based intervention for depression in three IAPT services

The Cognitive Behaviour Therapist ◽

10.1017/s1754470x14000221 ◽

2014 ◽

Vol 7 ◽

Cited By ~ 4

Author(s):

Cecily Morrison ◽

Graham Walker ◽

Kai Ruggeri ◽

Jamie Hacker Hughes

Keyword(s):

Health Professionals ◽

Clinical Evidence ◽

Clinical Effectiveness ◽

Policy Support ◽

Surprising Result ◽

Patient Acceptability ◽

Web Based ◽

Face To Face ◽

The Past ◽

Adherence Data

AbstractWeb-based interventions for depression have burgeoned over the past 10 years as researchers and health professionals aim to harness the reach and cost-effectiveness that the internet promises. Despite strong clinical evidence of their effectiveness and policy support, web-based interventions have not become widely used in practice. We explored this translation gap by conducting an implementation pilot of MindBalance, a web-based intervention for depression built on the SilverCloud platform, in three IAPT services. We posed three questions: (1) Who chooses to use MindBalance? (2) Is MindBalance effective for these clients? (3) How do clients use MindBalance? Our results for questions (1) and (2) are commensurate with the positive findings in the literature on patient acceptability and clinical effectiveness for such interventions. Client usage, captured in adherence data as well as usage case-studies, was diverse and differed markedly from face-to-face sessions. The most surprising result, however, concerned the small number of people who were offered the intervention. We reflect upon why this was and discuss implementation issues that primary mental health services should consider when adding a web-based intervention to their services.

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Understanding Professional Jurisdiction Changes in the Field of Anesthesiology

Medical Care Research and Review ◽

10.1177/1077558716687889 ◽

2017 ◽

Vol 75 (5) ◽

pp. 612-632 ◽

Cited By ~ 5

Author(s):

Scott Feyereisen ◽

Joseph P. Broschak ◽

Beth Goodrick

Keyword(s):

Health Professionals ◽

The United States ◽

Nurse Anesthetists ◽

Medicare Reimbursement ◽

Certified Registered Nurse Anesthetists ◽

Professional Groups ◽

The Past ◽

Certified Registered Nurse ◽

Registered Nurse Anesthetists ◽

Care Costs

We further our understanding of jurisdictional disputes between established professional groups through a 10-year longitudinal analysis of the differential adoption by U.S. states of policies expanding Certified Registered Nurse Anesthetists’ (CRNAs) autonomy. In the United States, CRNAs are trained to deliver anesthetics to patients in the same way as physician anesthesiologists but have more restrictions in practice. Following a 2001 federal decision regarding Medicare reimbursement, states were permitted but not required to allow CRNAs to practice without physician supervision, potentially reducing health care costs. We show that higher levels of incumbent physician power makes it less likely that a state will change jurisdictional boundaries, while increasing relative power among challenging CRNAs and the past successes of other challenging health professionals increase the likelihood. State labor deficiency and proximity to other adopting states also positively influenced the expansion of CRNAs’ autonomy. Implications for the professions and health services literature are discussed.

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Creating Secondary Learning Resources from Web Based Conversational Learning Around ‘Rational Usage of Medicines’ in Diabetes

International Journal of User-Driven Healthcare ◽

10.4018/ijudh.2011100107 ◽

2011 ◽

Vol 1 (4) ◽

pp. 77-84

Author(s):

Yaron Bar Dayan ◽

Jose Mario F. de Oliveira ◽

Dean Jenkins ◽

Sabreena Malik ◽

Rakesh Biswas

Keyword(s):

Medical Education ◽

Health Professionals ◽

Online Community ◽

Treatment Decisions ◽

Learning Resources ◽

Web Based ◽

Education Resources ◽

Exploratory Approach ◽

Conversational Learning ◽

Online Group

This paper is an exploratory approach to creating stimulating medical education resources in the form of interactive conversational learning between health professionals who present topics related to their practice either in the form of a case uncertainty or a general uncertainty around treatment decisions. Through these conversations, health professionals discover newer insights into the topic being discussed and learn actively along with an online group of health professionals who guide each other contextually through the discussion. doc2doc, BMJ Group’s global clinical online community, presents a unique platform for the above described activity. In this illustrative example, the authors look at the topic of ‘rational usage of medicines’ in diabetes.

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The Voice of Isotretinoin

Clinical Solutions and Medical Progress through User-Driven Healthcare ◽

10.4018/978-1-4666-1876-3.ch003 ◽

2013 ◽

pp. 24-25

Author(s):

David Elpern

Keyword(s):

Suicidal Ideation ◽

Side Effects ◽

Health Professional ◽

Health Outcomes ◽

Social Networking ◽

Health Professionals ◽

Clinical Encounter ◽

Web Based ◽

Patient Reports ◽

The Voice

This paper is a joint patient and health professional narrative that emphasizes possible utilities of a persistent clinical encounter between patients and health professionals toward improving health outcomes. It illustrates one of the important objectives of “User Driven Healthcare” that notes an increasing influence of asynchronous email as well as electronic social networking between patients and health professionals as transformative toward the future of healthcare. The patient reports an important side effect of a drug hitherto under-reported in the literature as discovered by her physician after further web based searching. This experience led him to further reflect on possible causes of prior reported side effects of the drug such as suicidal ideation.

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Assessing the acceptability and feasibility of web-based screening for psychoactive substances in a sample of French university students and workers: a mixed-method prospective study (Preprint)

10.2196/preprints.15519 ◽

2019 ◽

Author(s):

Emmanuelle Anthoine ◽

Julie Caillon ◽

Xavier Deparis ◽

Michel Blanche ◽

Maxime Lebeaupin ◽

...

Keyword(s):

Pilot Study ◽

Health Service ◽

Early Detection ◽

Health Professional ◽

Mixed Method ◽

Health Professionals ◽

Text Message ◽

Service Users ◽

First Line ◽

Web Based

BACKGROUND Early detection in the prevention of addictive behaviours remains a complex question in practice for most first-line health professionals, despite its importance in terms of public health. Several prevention measures have successfully included a screening stage followed by a brief intervention in case of risk-related use or referral to an addiction centre for problematic use. Even though early detection is highly recommended by the WHO, it is not performed in practice. OBJECTIVE To assess acceptability and feasibility of a web-based application, “Pulsio Santé”, for health service users and first-line prevention professionals. METHODS A mixed-method prospective pilot study was conducted in 2017 in two departments: The Nantes occupational health department responsible for monitoring the health of salaried personnel across the region, and the university department of preventive medicine with a health unit dedicated to university students. In each department, all health professionals (physicians and nurses) were invited to participate in the study. Subjects 18 or older seen by a health professional from one of the departments were eligible. The study procedure comprised 4 phases: 1) inclusion of participants by health professionals face-to-face, 2) self-automated web-based assessment report filled in by participants on their substance use with “Pulsio Santé” based on ASSIST questionnaire. Participants received a text message on their smartphone or by email, 3) if participants agreed, they could transfer results to their health professional. If not, messages appeared allowing them to get in touch with their general practitioner, should the assessment detect a risk. Two levels of feasibility and acceptability criteria were assessed. Two focus group sessions with health professionals were performed, exploring their points of view on the acceptability and feasibility of the web-based application. A multi-category content analysis was done. RESULTS 1474 people were eligible and 44 health professionals participated in the study. The first level of acceptability (% of people who agreed to receive a text message or an email) was 79.2% (1167 out of 1474). The second level of acceptability (% of participants who click on the self-assessment link) was 60.2% (703 out of 1167). The first level of feasibility (% of participants who completed their self-evaluation entirely) was 76.2% (536 out of 703). The second level of feasibility (% of participants who shared the results with their health professional) was 79.5% (426 out of 536). Health professionals highlighted obstacles to carry out the recommended interventions for people at risk based on their online screening. CONCLUSIONS Our pilot study on a large sample showed good acceptability and feasibility of “Pulsio Santé” by health service users and professionals. The need for further studies more directly focused on the limitations emerged.

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