13 research outputs found

    Implementation of a Community Emergency Security Alert System

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    Emergency alert and response is carried out in different ways around the world. Governments, corporate bodies and individuals take emergencies very seriously and continue to develop ingenious ways of responding to emergencies very swiftly. Most Urban areas have well-developed emergency response systems but this is not true of rural and sub-urban settlements. Security risk keeps increasing by the day due to rapid population growth. This is particularly true at the grassroots or community level. This paper proposes a very effective and economical way of alerting a community to all kinds of security emergencies. It incorporates the use of a mobile application that was codenamed “CEMAS” (Community Emergency Alarm System). The mobile application with a “Panic button” on it provides all inhabitants of the community with the means of triggering two SMS-activated central alarms. The first alarm is located at the community center and the second at the community police station. The central alarm system is activated by pressing the “Panic Button” whenever there is a security threat. The designed and implemented system worked satisfactorily well

    Implementation of a Community Emergency Security Alert System

    Get PDF
    Emergency alert and response is carried out in different ways around the world. Governments, corporate bodies and individuals take emergencies very seriously and continue to develop ingenious ways of responding to emergencies very swiftly. Most Urban areas have well-developed emergency response systems but this is not true of rural and sub-urban settlements. Security risk keeps increasing by the day due to rapid population growth. This is particularly true at the grassroots or community level. This paper proposes a very effective and economical way of alerting a community to all kinds of security emergencies. It incorporates the use of a mobile application that was codenamed “CEMAS” (Community Emergency Alarm System). The mobile application with a “Panic button” on it provides all inhabitants of the community with the means of triggering two SMS-activated central alarms. The first alarm is located at the community center and the second at the community police station. The central alarm system is activated by pressing the “Panic Button” whenever there is a security threat. The designed and implemented system worked satisfactorily well

    Patient Generated Health Data: Framework for Decision Making

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    Patient information is a major part of healthcare decision making. Although currently scattered due to multiple sources and diverse formats, decision making can be improved if the patient information is readily available in a unified manner. Mobile technologies can improve decision making by integrating patient information from multiple sources. This study explores how patient generated health data (PGHD) from multiple sources can lead to improved healthcare decision making. A semi-systematic review is conducted to analyze research articles for transparency, clarity, and complete reporting. We conceptualize the data generated by healthcare professional as primarily from EHR/EMR and the data generated by patient as primarily from mobile apps and wearables. Eight themes led to the development of Convergence Model for Patient Data (CMPD). A framework was developed to illustrate several scenarios, to identify quality and timeliness requirements in mobile healthcare environment, and to provide necessary decision support

    A multivariant secure framework for smart mobile health application

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    This is an accepted manuscript of an article published by Wiley in Transactions on Emerging Telecommunications Technologies, available online: https://doi.org/10.1002/ett.3684 The accepted version of the publication may differ from the final published version.Wireless sensor network enables remote connectivity of technological devices such as smart mobile with the internet. Due to its low cost as well as easy availability of data sharing and accessing devices, the Internet of Things (IoT) has grown exponentially during the past few years. The availability of these devices plays a remarkable role in the new era of mHealth. In mHealth, the sensors generate enormous amounts of data and the context-aware computing has proven to collect and manage the data. The context aware computing is a new domain to be aware of context of involved devices. The context-aware computing is playing a very significant part in the development of smart mobile health applications to monitor the health of patients more efficiently. Security is one of the key challenges in IoT-based mHealth application development. The wireless nature of IoT devices motivates attackers to attack on application; these vulnerable attacks can be denial of service attack, sinkhole attack, and select forwarding attack. These attacks lead intruders to disrupt the application's functionality, data packet drops to malicious end and changes the route of data and forwards the data packet to other location. There is a need to timely detect and prevent these threats in mobile health applications. Existing work includes many security frameworks to secure the mobile health applications but all have some drawbacks. This paper presents existing frameworks, the impact of threats on applications, on information, and different security levels. From this line of research, we propose a security framework with two algorithms, ie, (i) patient priority autonomous call and (ii) location distance based switch, for mobile health applications and make a comparative analysis of the proposed framework with the existing ones.Published onlin

    Design for Mobile Mental Health:An Exploratory Review

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    A large number of mobile mental health apps are available to the public but current knowledge about requirements of designing such solutions is scarce, especially from sociotechnical and user centred points of view. Due to the significant role of mobile apps in the mental health service models, identifying the design requirements of mobile mental health solutions is crucial. Some of those requirements have been addressed individually in the literature, but there are few research studies that show a comprehensive picture of this domain. This exploratory review aims to facilitate such holistic understanding. The main search keywords of the review were identified in a cross-disciplinary requirements workshop. The search was started by finding some core references in the healthcare databases. A wider range of references then has been explored using a snowball method. Findings showed that there is a good understanding of individual design requirements in current literature but there are few examples of implementing a combination of different design requirements in real world products. The design processes specifically developed for mobile mental health apps are also rare. Most studies on operational mobile mental health apps address major mental health issues while prevention and wellbeing areas are underdeveloped. In conclusion, the main recommendations for designing future mobile mental health solutions include: moving towards sociotechnical and open design strategies, understanding and creating shared value, recognizing all dimensions of efficacy, bridging design and medical research and development, and considering an ecosystem perspective

    Implementation of Telemedicine to Reduce No-show Rates

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    Missed appointments, or no-shows, are defined as “patients who neither kept nor canceled scheduled appointments” (Dayal, 2019, p.27). Missed appointments cost the United States healthcare system more than $150 billion annually. They disrupt the continuity of healthcare services, add to patients\u27 dissatisfaction due to delays in getting new appointments, and hinder the detection and treatment of disease. The rates of missed appointments vary between countries and healthcare systems. Studies conducted previously in primary care settings found that the rate of missed appointments ranged from 5%–55% in different series in the United States. One study suggested that missed appointments are likely influenced by three kinds of barriers: personal, structural/organizational, and financial. Telemedicine can increase patients\u27 access to care, whereas distance and travel time between patients and providers can limit it. Fortunately, telemedicine can overcome geographical barriers to healthcare, especially for specialized providers. For instance, telemedicine can be particularly beneficial for patients in medically underserved communities and rural locations with clinician shortages (Dayal, 2019). The purpose of this project is to determine whether telemedicine can help reduce no-show rates for primary care patients. In this study, methods and theories were used, and a project team was established to help create rules and guidelines for this telemedicine project. Telemedicine was implemented in three clinics, and the no-show rates were compared to three non telemedicine clinics from January to March and May to July of 2022. A questionnaire and survey were provided for staff to provide feedback about the telemedicine feature. The results showed that there was not a great disparity between no-shows for telemedicine clinics and non telemedicine clinics. The patients provided positive feedback about telemedicine, but the staff would prefer a different application than doxy.me. The return-on-investment goals were only met for one clinic. There were many limitations in the study; for instance, not all visit types were eligible for telemedicine visits. The results showed that telemedicine did not reduce no-shows in any primary care clinic in which it was tested, but it improve care access for the patients, and patients who use the feature like it

    Managerial Intervention Strategies to Reduce Patient No-Show Rates

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    High patient no-show rates increase health care costs, decrease healthcare access, and reduce the clinical efficiency and productivity of health care facilities. The purpose of this exploratory qualitative single case study was to explore and analyze the managerial intervention strategies healthcare administrators use to reduce patient no-show rates. The targeted research population was active American College of Healthcare Executives (ACHE), Hawaii-Pacific Chapter healthcare administrative members with operational and supervisory experience addressing administrative patient no-show interventions. The conceptual framework was the theory of planned behavior. Semistructured interviews were conducted with 4 healthcare administrators, and appointment cancellation policy documents were reviewed. Interpretations of the data were subjected to member checking to ensure the trustworthiness of the findings. Based on the methodological triangulation of the data collected, 5 common themes emerged after the data analysis: reform appointment cancellation policies, use text message appointment reminders, improve patient accessibility, fill patient no-show slots immediately, and create organizational and administrative efficiencies. Sharing the findings of this study may help healthcare administrators to improve patient health care accessibility, organizational performance and the social well-being of their communities

    Protocolo de evaluación de la aceptación de los repositorios institucionales por parte de los usuarios: en el marco de una colección de recursos sobre sustentabilidad energética

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    [EN]Information and communication technologies areas, (ICT) are looking for strategies to innovate in the improvement of their products and services, both technical supports, updating and software development with the aim of avoiding technological lag in their infrastructure, in their processes and in its applications. The current challenges, from a constant evolution of software components towards new models of ICT management, stories such as orientation to develop mobile applications, communication through social networks, cloud management services and the analysis of large amounts of data (massive data, intelligent data, machining learning, data mining), which forces ICT areas to focus on the creation of activities that bring innovative value to their own context. incorporate other values from the detection of the needs of their potential users. In the academic context, ICTs are impacting in the same way, increasing the challenges of universities, such as innovating in teaching-learning processes, strengthening democratization models of access to knowledge, creating strategies to increase social impact in activities educational, updating and training teachers' competencies, creation of lifelong education programs, among others. To achieve the above, current policies and guidelines must also be updated in line with the digital transformation and include dissemination formats to communicate progress, results, new perspectives, improvements in services, in order to promote new routes to generate and disseminate knowledge with the use of information technologies. The development of science becomes a key indicator that allows assessing the technological and educational economic development of countries, for which it must be attended.[ES]Las áreas de tecnologías de información y comunicación (TIC) están buscando estrategias para innovar en la mejora de sus productos y servicios, tanto de apoyo técnico, actualización y desarrollo de software con el objetivo de evitar el rezago tecnológico en su infraestructura, en sus procesos y en sus aplicaciones. Los retos actuales, surgen a partir de una constante evolución de los componentes de software hacia nuevos modelos de gestión de las TIC, tales como la orientación para desarrollar aplicaciones móviles, la comunicación a través de redes sociales, los servicios de gestión de tecnologías en la nube y el análisis de grandes cantidades de datos (big data, Smart-data, maching learning, data mining), lo cual obliga a las áreas de TIC a centrarse en la creación de iniciativas que aporten valor innovador a su propio contexto e incorporen otros valores a partir de detectar las necesidades de sus usuarios potenciales. En el contexto académico, las TIC están impactando de la misma manera, aumentando los retos de las Universidades, tales como innovar en los procesos de enseñanza aprendizaje, fortalecer los modelos democratización del acceso al conocimiento, crear estrategias para aumentar el impacto social en las actividades educativas, actualización y formación de competencias del profesorado, creación de programas de educación a lo largo de toda la vida, entre otros. Para lograr lo anterior, las políticas y lineamientos actuales también debe ser actualizados acorde con la transformación digital e incluir formatos de difusión para comunicar los avances, resultados, nuevas perspectivas, mejoras de servicios, con la finalidad de propiciar nuevas rutas para generar y difundir conocimiento con el uso de las tecnologías de información. El desarrollo de la ciencia se convierte en un indicador clave que permite valorar el desarrollo económico tecnológico y educativo de los países, por lo cual debe ser atendido

    Situating mHealth in the workplace: a coordination studies perspective

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    A central assumption of extant mHealth literature is that the technology empowers health care staff and leads to increased efficiency in service delivery. This assumption foregrounds the transformative potential of mHealth and the active appropriation of the technology, but obscures how it integrates with existing workplace arrangements. To interrogate the limitations of this dominant assumption, this research examines how mHealth is coordinated in the workplace in practice, and the perceptions and experiences of health care staff of the place mHealth takes in their daily concerns. In this way the research reveals how existing workplace arrangements influence the way that mHealth operates in practice, and builds on extant research to clarify how this can shift responsibility for the success of the implementation onto those staff with the least recognition and security. An interpretive case study explores the coordination of mHealth in the workplace, and analyses unexpected outcomes to identify their implications for theory and practice. In order to highlight this phenomenon the research focussed on the experiences of the clinic staff who were responsible for mHealth implementation, but were not the end users and who did not receive direct benefits themselves. The analysis drew on coordination studies to identify social and artefact-based coordination mechanisms, as well as the significance of relationships in mHealth in the workplace, yielding robust evidence that social coordination mechanisms rather than the fitness for purpose of the specific technology shaped the coordination process. Issues arising from the specific setting also influenced coordination in important ways that were not predicted in the official training material. The research makes three theoretical contributions that advance understanding of mHealth in the workplace through abduction. First, it identifies two novel coordination mechanisms: role flexibility and covert routines. Second, through the novel concept of multiple accountability, it challenges one of the key integrative principles proposed in the coordination studies perspective, problematising it and proposing that relationships between health intermediaries and local communities are far more influential for the coordination of mHealth than extant theory has so far proposed. Third, it carries important implications for future mHealth (and, more broadly, technology coordination) scholarship, providing evidence that existing coordination mechanisms and relationships may be as influential as the transformative potential of the technology itself. The research also contributes to practice by enhancing understanding of how health intermediaries may be empowered to effectively employ mHealth in the workplace. In a context of policy and funding uncertainty, this research contributes to an emerging literature identifying the practical mHealth issues primary health care staff face in a resource-poor environment, interrogating approaches that fail to recognise these realities
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