5 research outputs found

    Using cultural probes to inform the design of assistive technologies

    Get PDF
    This paper discusses the practical implications of applying cultural probes to drive the design of assistive technologies. Specifically we describe a study in which a probe was deployed with home-based carers of people with dementia in order to capture critical data and gain insights of integrating the technologies into this sensitive and socially complex design space. To represent and utilise the insights gained from the cultural probes, we created narratives based on the probe data to enhance the design of assistive technologies.This work was supported by the Arts and Humanities Research Council (AH/K00266X/1) and RCUK through the Horizon Digital Economy Research grant (EP/G065802/1)

    Scheduling Sustainable Homecare with Urban Transport and Different Skilled Nurses Using an Approximate Algorithm

    Get PDF
    The essential characteristics that distinguish homecare services from other routing and scheduling problems are relatively few patients being spread out over a large urban area, long transport times and several different services being provided. The approach that the authors present herein was developed to solve planning homecare services according to the criterion of increasing social sustainability and incorporating environmentally sustainable transport systems. The objective of this paper is to present a tool to plan the daily work carried out by a homecare service with assigned patients with specific care requirements. It relies on the resources of nurses with different qualifications by assuming costs that depend on both offering the service and the different chosen transport modes. The algorithm manages several priority rules by ensuring that homecare provider goals and standards are met. The developed algorithm was tested according to the weekly homecare schedule of a group of nurses in a medium-sized European city and was successfully used during validation to improve homecare planning decisions. The results, therefore, are not generalisable but its modular structure ensures its applicability to different cases. The algorithm provides a patient-centred visiting plan and improves transport allocation by offering nurses a better route assignment by considering the required variables and each nurse's daily workload.This research was founded Young Researcher Training granted by the Mediterranean Institute for Advanced Studies (MEDIFAS) according to the contract reached between the Slovenian Research Agency (ARRS) and MEDIFAS

    European Registry on Helicobacter pylori management (Hp-EuReg): Patterns and trends in first-line empirical eradication prescription and outcomes of 5 years and 21 533 patients

    Full text link
    Art√≠culo escrito por un elevado n√ļmero de autores, solo se referencian el que aparece en primer lugar, el nombre del grupo de colaboraci√≥n, si le hubiere, y los autores pertenecientes a la UAMObjective The best approach for Helicobacter pylori management remains unclear. An audit process is essential to ensure clinical practice is aligned with best standards of care. Design International multicentre prospective non-interventional registry starting in 2013 aimed to evaluate the decisions and outcomes in H. pylori management by European gastroenterologists. Patients were registered in an e-CRF by AEG-REDCap. Variables included demographics, previous eradication attempts, prescribed treatment, adverse events and outcomes. Data monitoring was performed to ensure data quality. Time-trend and geographical analyses were performed. Results 30 394 patients from 27 European countries were evaluated and 21 533 (78%) first-line empirical H. pylori treatments were included for analysis. Pretreatment resistance rates were 23% to clarithromycin, 32% to metronidazole and 13% to both. Triple therapy with amoxicillin and clarithromycin was most commonly prescribed (39%), achieving 81.5% modified intention-to-treat eradication rate. Over 90% eradication was obtained only with 10-day bismuth quadruple or 14-day concomitant treatments. Longer treatment duration, higher acid inhibition and compliance were associated with higher eradication rates. Time-trend analysis showed a region-dependent shift in prescriptions including abandoning triple therapies, using higher acid-inhibition and longer treatments, which was associated with an overall effectiveness increase (84%-90%). Conclusion Management of H. pylori infection by European gastroenterologists is heterogeneous, suboptimal and discrepant with current recommendations. Only quadruple therapies lasting at least 10 days are able to achieve over 90% eradication rates. European recommendations are being slowly and heterogeneously incorporated into routine clinical practice, which was associated with a corresponding increase in effectivenessThis project has been funded by the European Helicobacter and Microbiota Study Group (EHMSG), the Asociaci√≥n Espa√Īola de Gastroenterolog√≠a (AEG) and the Centro de Investigaci√≥n Biom√©dica en Red de Enfermedades Hep√°ticas y Digestivas (CIBERehd

    European Registry on Helicobacter pylori management (Hp-EuReg): Patterns and trends in first-line empirical eradication prescription and outcomes of 5 years and 21 533 patients

    Get PDF
    Objective The best approach for Helicobacter pylori management remains unclear. An audit process is essential to ensure clinical practice is aligned with best standards of care. Design International multicentre prospective non-interventional registry starting in 2013 aimed to evaluate the decisions and outcomes in H. pylori management by European gastroenterologists. Patients were registered in an e-CRF by AEG-REDCap. Variables included demographics, previous eradication attempts, prescribed treatment, adverse events and outcomes. Data monitoring was performed to ensure data quality. Time-trend and geographical analyses were performed. Results 30 394 patients from 27 European countries were evaluated and 21 533 (78%) first-line empirical H. pylori treatments were included for analysis. Pretreatment resistance rates were 23% to clarithromycin, 32% to metronidazole and 13% to both. Triple therapy with amoxicillin and clarithromycin was most commonly prescribed (39%), achieving 81.5% modified intention-to-treat eradication rate. Over 90% eradication was obtained only with 10-day bismuth quadruple or 14-day concomitant treatments. Longer treatment duration, higher acid inhibition and compliance were associated with higher eradication rates. Time-trend analysis showed a region-dependent shift in prescriptions including abandoning triple therapies, using higher acid-inhibition and longer treatments, which was associated with an overall effectiveness increase (84%-90%). Conclusion Management of H. pylori infection by European gastroenterologists is heterogeneous, suboptimal and discrepant with current recommendations. Only quadruple therapies lasting at least 10 days are able to achieve over 90% eradication rates. European recommendations are being slowly and heterogeneously incorporated into routine clinical practice, which was associated with a corresponding increase in effectiveness

    Assessing available care time and nursing shortage in a hospital

    No full text
    Health is one of the main components of well-being and medical progress has enabled many people to live better lives than at any time in history. Moreover, since the second half of the 20th century, the right to health has been recognized as a human right by international law as well as by many national laws. Unfortunately for many years now - and the phe- nomenon has become even more acute since COVID-19 pandemic - there has been a worldwide shortage of healthcare workers. This is particularly true for nurses, especially in poor countries. The aim of the paper is to help assess the number of nurses needed to ensure both healthier care- givers and healthier patients. To achieve this goal, we propose a model with random arrivals and exits of patients who may be of a single type (or several), and calculate the average care time they can receive. The results are given in closed form when arrivals follow a Poisson probability distribution. We also propose an analysis of the impact of working conditions on the average time that can be devoted to a patient
    corecore