24,788 research outputs found
An Advanced Conceptual Diagnostic Healthcare Framework for Diabetes and Cardiovascular Disorders
The data mining along with emerging computing techniques have astonishingly
influenced the healthcare industry. Researchers have used different Data Mining
and Internet of Things (IoT) for enrooting a programmed solution for diabetes
and heart patients. However, still, more advanced and united solution is needed
that can offer a therapeutic opinion to individual diabetic and cardio
patients. Therefore, here, a smart data mining and IoT (SMDIoT) based advanced
healthcare system for proficient diabetes and cardiovascular diseases have been
proposed. The hybridization of data mining and IoT with other emerging
computing techniques is supposed to give an effective and economical solution
to diabetes and cardio patients. SMDIoT hybridized the ideas of data mining,
Internet of Things, chatbots, contextual entity search (CES), bio-sensors,
semantic analysis and granular computing (GC). The bio-sensors of the proposed
system assist in getting the current and precise status of the concerned
patients so that in case of an emergency, the needful medical assistance can be
provided. The novelty lies in the hybrid framework and the adequate support of
chatbots, granular computing, context entity search and semantic analysis. The
practical implementation of this system is very challenging and costly.
However, it appears to be more operative and economical solution for diabetes
and cardio patients.Comment: 11 PAGE
Randomized controlled trial of a coordinated care intervention to improve risk factor control after stroke or transient ischemic attack in the safety net: Secondary stroke prevention by Uniting Community and Chronic care model teams Early to End Disparities (SUCCEED).
BackgroundRecurrent strokes are preventable through awareness and control of risk factors such as hypertension, and through lifestyle changes such as healthier diets, greater physical activity, and smoking cessation. However, vascular risk factor control is frequently poor among stroke survivors, particularly among socio-economically disadvantaged blacks, Latinos and other people of color. The Chronic Care Model (CCM) is an effective framework for multi-component interventions aimed at improving care processes and outcomes for individuals with chronic disease. In addition, community health workers (CHWs) have played an integral role in reducing health disparities; however, their effectiveness in reducing vascular risk among stroke survivors remains unknown. Our objectives are to develop, test, and assess the economic value of a CCM-based intervention using an Advanced Practice Clinician (APC)-CHW team to improve risk factor control after stroke in an under-resourced, racially/ethnically diverse population.Methods/designIn this single-blind randomized controlled trial, 516 adults (≥40 years) with an ischemic stroke, transient ischemic attack or intracerebral hemorrhage within the prior 90 days are being enrolled at five sites within the Los Angeles County safety-net setting and randomized 1:1 to intervention vs usual care. Participants are excluded if they do not speak English, Spanish, Cantonese, Mandarin, or Korean or if they are unable to consent. The intervention includes a minimum of three clinic visits in the healthcare setting, three home visits, and Chronic Disease Self-Management Program group workshops in community venues. The primary outcome is blood pressure (BP) control (systolic BP <130 mmHg) at 1 year. Secondary outcomes include: (1) mean change in systolic BP; (2) control of other vascular risk factors including lipids and hemoglobin A1c, (3) inflammation (C reactive protein [CRP]), (4) medication adherence, (5) lifestyle factors (smoking, diet, and physical activity), (6) estimated relative reduction in risk for recurrent stroke or myocardial infarction (MI), and (7) cost-effectiveness of the intervention versus usual care.DiscussionIf this multi-component interdisciplinary intervention is shown to be effective in improving risk factor control after stroke, it may serve as a model that can be used internationally to reduce race/ethnic and socioeconomic disparities in stroke in resource-constrained settings.Trial registrationClinicalTrials.gov Identifier NCT01763203
Using popular culture to enable health service co-design with young people
This paper reports on participatory service design with young people with type 1 diabetes – a long-term condition that can impact their emotional wellbeing and where poor self-care often leads to negative health consequences. The paper describes a project working with young people with type 1 diabetes to design innovative health services. The project consisted of eight creative workshops, in which we used popular cultural references as a means to create enjoyable activities and encourage the young people to engage with design. These cultural references can be understood as creating design language games that allowed the young people to understand and participate in the activities required at each stage of the design process. However, not all popular culture references worked equally well and this paper explores the reasons for this
Activity Theory Analysis of Heart Failure Self-Care
The management of chronic health conditions such as heart failure is a complex process emerging from the activity of a network of individuals and artifacts. This article presents an Activity Theory-based secondary analysis of data from a geriatric heart failure management study. Twenty-one patients' interviews and clinic visit observations were analyzed to uncover eight configurations of roles and activities involving patients, clinicians, and others in the sociotechnical network. For each configuration or activity pattern, we identify points of tension and propose guidelines for developing interventions for future computer-supported healthcare systems
User interface design for mobile-based sexual health interventions for young people: Design recommendations from a qualitative study on an online Chlamydia clinical care pathway
Background: The increasing pervasiveness of mobile technologies has given potential to transform healthcare by facilitating clinical management using software applications. These technologies may provide valuable tools in sexual health care and potentially overcome existing practical and cultural barriers to routine testing for sexually transmitted infections. In order to inform the design of a mobile health application for STIs that supports self-testing and self-management by linking diagnosis with online care pathways, we aimed to identify the dimensions and range of preferences for user interface design features among young people. Methods: Nine focus group discussions were conducted (n=49) with two age-stratified samples (16 to 18 and 19 to 24 year olds) of young people from Further Education colleges and Higher Education establishments. Discussions explored young people's views with regard to: the software interface; the presentation of information; and the ordering of interaction steps. Discussions were audio recorded and transcribed verbatim. Interview transcripts were analysed using thematic analysis. Results: Four over-arching themes emerged: privacy and security; credibility; user journey support; and the task-technology-context fit. From these themes, 20 user interface design recommendations for mobile health applications are proposed. For participants, although privacy was a major concern, security was not perceived as a major potential barrier as participants were generally unaware of potential security threats and inherently trusted new technology. Customisation also emerged as a key design preference to increase attractiveness and acceptability. Conclusions: Considerable effort should be focused on designing healthcare applications from the patient's perspective to maximise acceptability. The design recommendations proposed in this paper provide a valuable point of reference for the health design community to inform development of mobile-based health interventions for the diagnosis and treatment of a number of other conditions for this target group, while stimulating conversation across multidisciplinary communities
Shared Value in Emerging Markets: How Multinational Corporations Are Redefining Business Strategies to Reach Poor or Vulnerable Populations
This report illuminates the enormous opportunities in emerging markets for companies to drive competitive advantage and sustainable impact at scale. It identifies how over 30 companies across multiple sectors and geographies design and measure business strategies that also improve the lives of underserved individuals
360 Quantified Self
Wearable devices with a wide range of sensors have contributed to the rise of
the Quantified Self movement, where individuals log everything ranging from the
number of steps they have taken, to their heart rate, to their sleeping
patterns. Sensors do not, however, typically sense the social and ambient
environment of the users, such as general life style attributes or information
about their social network. This means that the users themselves, and the
medical practitioners, privy to the wearable sensor data, only have a narrow
view of the individual, limited mainly to certain aspects of their physical
condition.
In this paper we describe a number of use cases for how social media can be
used to complement the check-up data and those from sensors to gain a more
holistic view on individuals' health, a perspective we call the 360 Quantified
Self. Health-related information can be obtained from sources as diverse as
food photo sharing, location check-ins, or profile pictures. Additionally,
information from a person's ego network can shed light on the social dimension
of wellbeing which is widely acknowledged to be of utmost importance, even
though they are currently rarely used for medical diagnosis. We articulate a
long-term vision describing the desirable list of technical advances and
variety of data to achieve an integrated system encompassing Electronic Health
Records (EHR), data from wearable devices, alongside information derived from
social media data.Comment: QCRI Technical Repor
- …