Towards a Low-Cost Mobile Subcutaneous Vein Detection Solution Using Near-Infrared Spectroscopy

Excessive venipunctures are both time- and resource-consuming events, which cause anxiety, pain, and distress in patients, or can lead to severe harmful injuries. We propose a low-cost mobile health solution for subcutaneous vein detection using near-infrared spectroscopy, along with an assessment of the current state of the art in this field. The first objective of this study was to get a deeper overview of the research topic, through the initial team discussions and a detailed literature review (using both academic and grey literature). The second objective, that is, identifying the commercial systems employing near-infrared spectroscopy, was conducted using the PubMed database. The goal of the third objective was to identify and evaluate (using the IEEE Xplore database) the research efforts in the field of low-cost near-infrared imaging in general, as a basis for the conceptual model of the upcoming prototype. Although the reviewed commercial devices have demonstrated usefulness and value for peripheral veins visualization, other evaluated clinical outcomes are less conclusive. Previous studies regarding low-cost near-infrared systems demonstrated the general feasibility of developing cost-effective vein detection systems; however, their limitations are restricting their applicability to clinical practice. Finally, based on the current findings, we outline the future research direction

Основи перекладацького анотування та реферування текстів різних типів і жанрів

Посібник пропонує теоретичні засади та практичні рекомендації з анотування та реферування й виконання анотаційного та реферативного перекладу текстів різних типів і жанрів, що є необхідною складовою формування професійної компетенції майбутніх перекладачів-референтів. Навчальний посібник призначено для студентів 4 курсу освітньо-кваліфікаційного рівня «бакалавр» денної форми навчання факультету іноземних мов

Assessment of Physical Activity in Adults with Progressive Muscle Disease

Introduction: Insufficient physical activity is a major threat to global health. Physical activity benefits peoples’ physical and mental health. The general population, including people living with disabilities and muscle wasting conditions, are recommended to avoid excessive sedentary time and engage in daily activity. Adults with progressive muscle disease experience barriers to physical activity participation, including muscle weakness, fatigue, physical deconditioning, impairment, activity limitations and participation restrictions (including societal and environmental factors), and fear of symptom exacerbation. More research is required to understand the inter-relationship between health and physical activity for adults with progressive muscle disease, particularly non-ambulant people who are under-represented in the existing research literature. Accurate measurement of FITT (frequency, intensity, time, and type of physical activity) is vital for high-quality physical activity assessment. The aim of this thesis was to assess the physical activity of ambulant and non-ambulant adults with progressive muscle disease.Systematic review findings identified various measures used to assess physical activity in adults with muscular dystrophy, including accelerometers, direct observation, heart rate monitors, calorimetry, positioning systems, activity diaries, single scales, interviews and questionnaires. None of the measures identified in the systematic review had well established measurement properties for adults with muscular dystrophy.Patient and public involvement interviews highlighted the importance of inclusive, remote, and technology-facilitated research design, the potential intrusion of direct observations of physical activity, the familiarity of questionnaires for data collection, and practical considerations to ensure wearing an activity monitor was not too burdensome.A feasibility study using multiple methods in 20 ambulant and non-ambulant adults with progressive muscle disease revealed satisfactory acceptability, interpretability, and usability of Fitbit and activity questionnaires, in both paper and electronic formats. During supervised activity tasks, Fitbit was found to have satisfactory criterion validity, reliability, and responsiveness and measurement properties were strengthened using multisensory measurement.An observational, longitudinal study that included 111 ambulant and non-ambulant adults with progressive muscle disease showed that:Activity monitoring had satisfactory validity, reliability and responsiveness using Fitbit, but there was considerable measurement error between Fitbit and the research grade GENEActiv accelerometer. Fitbit thresholds and multiple metrics (including accelerometer and heart rate data extrapolations of FITT) were appropriate for physical activity assessment in ambulant and non-ambulant adults with progressive muscle disease.Activity self-report had unsatisfactory concurrent validity, test-retest reliability, and responsiveness with substantial activity overestimation using the modified International Physical Activity Questionnaire. However, self-report properties were improved when used concurrently with Fitbit.Observed physical activity in adults with progressive muscle disease was generally low with excessive daily sedentary time. Activity frequencies, intensities and durations were lower, and activity types were more domestic, for wheelchair users and during the COVID-19 lockdown. Lower physical activity was significantly associated with greater functional impairment, less cardiorespiratory fitness, worse metabolic health, and lower quality of life. Activity optimisation thresholds and minimal clinically important differences were established.Discussion: The implications of this thesis include guidance for selection of appropriate physical activity measures by clinicians and researchers working with adults with progressive muscle disease. Fitbit is suitable in clinical practice and research for interactive, weekly remote activity monitoring or to support activity self-management and may represent an appropriate compromise between potential underestimation by accelerometry alone, and overestimation by self-report alone. A draft conceptual framework for physical activity measurement was also proposed. It includes frequency, intensity, time, and type of physical activity, and incorporates wider aspects of the physical activity construct, including somatic factors (relating to progressive muscle disease and underlying fitness) and contextual factors (relating to personal, social, and environmental situations). Future research will build on the knowledge gained in this thesis, furthering understanding of the inter-relationships between physical activity, health and wider contexts. Implementation will include testing a remote physical activity optimisation intervention that is inclusive of ambulant and non-ambulant participants, featuring Fitbit self-monitoring with a focus on optimisation of daily activity frequency and regularly interrupting sedentary time.</div

2018, UMaine News Press Releases

This is a catalog of press releases put out by the University of Maine Division of Marketing and Communications between March 2, 2018 and December 31, 2018

Better medical apps for healthcare practitioners through interdisciplinary collaboration: lessons from transfusion medicine

Mobile applications (“apps”) are increasingly used in medical education and practice. However, many medical apps are of variable quality, lack supporting evidence and fall outside the remit of regulators. In this thesis, I explore how the quality and credibility of apps for healthcare practitioners could be improved. I argue that interdisciplinary collaboration throughout the app life-cycle is critical and discuss how this can be facilitated. My argument rests on prior work in eHealth and neighbouring disciplines, and on original research in transfusion medicine. Blood transfusion can be a life-saving medical treatment. However, it also carries risks. Failures to provide irradiated and cytomegalovirus-negative blood components according to guidelines are frequently reported in the UK. Such incidents put patients at risk of serious complications. Haemovigilance data indicates that enhancing practitioner knowledge may reduce mistakes. Thus, I worked with medical experts to develop and evaluate the Special Blood Components (SBC) mobile learning app. To facilitate this work, I created two tools: the Web App Editor (WAE) and the Web App Trial (WAT). The former is a collaborative editor for building apps in a web browser and the latter is a system for conducting online randomised controlled app trials. The results are reported in five studies. Studies 1 and 2, based on interviews with seven practitioners, revealed shortcomings in an existing transfusion app and the SBC prototype. Study 3 demonstrated how students using theWAE were able to collaborate on apps, including an app in stroke medicine. Study 4, an evaluation of the revised SBC app with 54 medical students, established the ease of use as acceptable. In study 5, a WAT pilot study with 61 practitioners, the SBC app doubled scores on a knowledge test and was rated more favourably than existing hospital guidelines. In conclusion, creating high quality medical apps that are supported by evidence is a considerable undertaking and depends on a mix of knowledges and skills. It requires that healthcare practitioners, software developers and otherswork together effectively. Hence, the WAE and WAT are key research outcomes. They enabled participants to contribute improvements and assess the usability and efficacy of the SBC app. The results suggest that the SBC app is easy to use and can improve practitioner knowledge. Further work remains to pilot and evaluate the SBC app in a hospital setting