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"PRINCIPLES AND TECHNOLOGIES"
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ESMvis
by
Stulp, Gert
,
Bringmann, Laura F.
,
van der Veen, Date C.
in
Ecological Momentary Assessment
,
Feedback
,
Humans
2021
Purpose
The experience sampling method (ESM) is used for intensive longitudinal time-series data collection during normal daily life. ESM data give information on momentary affect, activities and (social) context of, for example, patients suffering from mental disorders, and allows for person-specific feedback reports. However, current personalized feedback reports only display a selection of measured variables, and typically involve only summary statistics, thus not reflecting the dynamic fluctuations in affect and its influencing factors. To address this shortcoming, we developed a tool for dynamically visualizing ESM data.
Methods
We introduce a new framework, ESMvis, for giving descriptive feedback, focusing on direct visualization of the dynamic nature of raw data. In this ESM feedback approach, raw ESM data are visualized using R software. We applied ESMvis to data collected for over 52 weeks on a patient diagnosed with an obsessive–compulsive disorder with comorbid depression.
Results
We provided personalized feedback, in which both the overall trajectory and specific time moments were captured in a movie format. Two relapses during the study period could be visually determined, and subsequently confirmed by the therapist. The therapist and patient evaluated ESMvis as an insightful add-on tool to care-as-usual.
Conclusion
ESMvis is a showcase on providing personalized feedback by dynamic visualization of ESM time-series data. Our tool is freely available and adjustable, making it widely applicable. In addition to potential applications in clinical practice, ESMvis can work as an exploratory tool that can lead to new hypotheses and inform more complex statistical techniques.
Journal Article
Translating clinical and patient-reported data to tailored shared decision reports with predictive analytics for knee and hip arthritis
2021
Introduction
New informatics tools can transform evidence-based information to
individualized
predictive reports to serve shared decisions in clinic. We developed a web-based system to collect patient-reported outcomes (PROs) and medical risk factors and to compare responses to national registry data. The system generates predicted outcomes for individual patients and a report for use in clinic to support decisions. We present the report development, presentation, and early experience implementing this PRO-based, shared decision report for knee and hip arthritis patients seeking orthopedic evaluation.
Methods
Iterative patient and clinician interviews defined report content and visual display. The web-system supports: (a) collection of PROs and risk data at home or in office, (b) automated statistical processing of responses compared to national data, (c)
individualized
estimates of likely pain relief and functional gain if surgery is elected, and (d) graphical reports to support shared decisions. The system was implemented at 12 sites with 26 surgeons in an ongoing cluster randomized trial.
Results
Clinicians and patients recommended that pain and function as well as clinical risk factors (e.g., BMI, smoking) be presented to frame the discussion. Color and graphics support patient understanding. To date, 7891 patients completed the assessment before the visit and 56% consented to study participation. Reports were generated for 98% of patients and 68% of patients recalled reviewing the report with their surgeon.
Conclusions
Informatics solutions can generate timely, tailored office reports including PROs and predictive analytics. Patients successfully complete the pre-visit PRO assessments and clinicians and patients value the report to support shared surgical decisions.
Journal Article
Public Administration’s Adaptation to COVID-19 Pandemic – Czech, Hungarian, Polish and Slovak Experience
by
Horvat, Matej
,
Rozsnyai, Krisztina F.
,
Potěšil, Lukáš
in
Adaptation
,
Administrative procedure
,
Comparative studies
2021
The pandemic of the infectious disease Covid-19 affected everyday life including public administration. In order to proceed with its duties, public administration had to adapt to these new and unprecedented conditions. The main goal of the article is to assess how public administration bodies adapted to the Covid-19 pandemic, especially in terms of the principle of the speed of procedure in the sense of the right to a fair trial within a reasonable time. In order to achieve this goal, the article focuses on public administration’s adaptation to the pandemic from the perspective of the Visegrad Group countries (V4). It analyses the digitalisation of public administration in relation to delivery, speed of procedure, usage of new technologies, as well as several other areas of public life affected by the pandemic. Specific examples from all V4 countries are analysed and compared in order to identify which approaches were taken by public administration, how they changed the way public administration carried out administrative procedures, and which values were decisive for these changes. Based on these examples, the article concludes that the approach taken by respective legislatures and public administrations in the V4 region complies with the law, but also presents several exceptions.
Journal Article
Utilizing open-source platforms to build and deploy interactive patient-reported quality of life tracking tools for monitoring protocol adherence
by
Vargas, Carlos E.
,
Kunze, Katie L.
,
McCormick, Nicole
in
Clinical trials
,
Medicine
,
Medicine & Public Health
2021
Purpose
Tracking patient-reported outcomes (PROs) and quality-of-life response rates is essential for clinical trials. Historically, rates are monitored through scheduled reports, which can require gathering, merging, and cleaning data from multiple databases. At the end of this process, if gaps are found, new data are entered and the cycle repeats, leaving a trail of reports that are not up-to-date or immediately accessible to the investigator. The financial and person-hour cost of utilizing clinical research staff for this purpose is impractical. Online dashboards are continuously updated to monitor data, providing on-demand access to promote successful research.
Methods
Dashboard implementation utilizes R, an open-source statistical programming language, RMarkdown, a markup language, Flexdashboard, which creates structural elements, and Shiny, allowing investigators the ability to interact with data within the dashboard. By leveraging these four elements, powerful, cost-effective interactive dashboards can be built.
Results
Numerous dashboards have been utilized to identify potentially missing data and increase protocol adherence. Immediate patient consultation can occur to retrieve protocol-related forms, reducing research staff and patient burden while improving trial effectiveness. Dashboards can monitor PROs, enrollment, demographics, toxicity, and biomarker data, clinical outcomes, and implemented predictive models, creating a single hub for on-demand clinical trial monitoring.
Conclusion
By employing a set of freely available tools, the burden of utilizing study staff to continuously monitor trials is greatly reduced. These tools allow users to rapidly build and deploy dynamic dashboards capable of meeting the research needs of any investigator while limiting missing data through simplified monitoring of protocol adherence.
Journal Article
Development and usability of a feedback tool, “My Personal Brain Health Dashboard”, to improve setting of self-management goals among people living with HIV in Canada
by
Fellows, Lesley K.
,
Rajabiyazdi, Fateme
,
Mozafarinia, Maryam
in
Brain health
,
Feedback
,
Human immunodeficiency virus
2021
Objective
(1) To develop a personalized health outcome profile as a feedback tool to improve self-management in people living with chronic conditions such as HIV and (2) to evaluate the interpretability and usefulness of the feedback tool for setting specific goals.
Methods
The development of “My Personal Brain Health Dashboard” was inspired by the knowledge-to-action framework. A health outcome profile was computer generated in SAS from the outcome measures, at first and last recorded visits, of each person enrolled in the +BHN cohort from five sites in Canada. The Wilson–Cleary model framed the outcome measurement strategy. Single actionable items with evidence of life impact were chosen. The response option from the original item was the person’s value and the optimal level was provided to help persons compare their results to an optimal target. Cognitive interviews were conducted with members of HIV community. Appropriateness of the Dashboard for goal-setting was tested by asking participants to write specific goals according to the Dashboard they were given.
Results
Fifteen respondents were recruited from Montreal and Vancouver. Items most endorsed to be changed were cognition, pain, and body mass index. 80% found the Dashboard useful for setting health-related goals. A total of 85 goals were set, the text of which was mined to create a lexicon for scoring goal quality in future endeavours.
Conclusion
This study was the preparatory phase for a future trial on a method to stimulate setting specific goals. The future trial would provide a thorough understanding of the quality of person-defined goals.
Journal Article
Simplification and Electronisation of Administrative Procedure in the Visegrad Group Countries - a Sociological and Legal Approach
by
Rozczynski, Beniamin
in
electronic communication, digitalisation of public administration, good administration, new technologies, principle of speed of the proceedings, public administration in V4 countries
2022
Purpose: The purpose of the research was to examine the sociological issues related to the biographical experience of a participant in the administrative procedure in the Visegrad Group countries (the perception of public administration bodies and their organisation, current demands of the public in the field of public administration activities, providing appropriate tangible and intangible tools for officials). The secondary goal of the research was to determine the nature, significance, consequences and form of comprehensive modernisation of existing simplifications of the administrative procedure (The author understands the concept of simplification of administrative procedure as “an administrative procedure separated from the general administrative procedure and characterized by simplification of general normative solutions”). Since the scope of the concept of ”electronisation of administrative procedure” does not fully include the concept of ”simplification of administrative procedure”, the research referred to two areas of the administrative procedure that are complementary to each other (the relationships that occur between them, including by specifying common and separate parts of electronisation of administrative procedure, e.g. in the scope of keeping and making available files of procedure in electronic form). Moreover, solutions were presented in the field of simplification and electronisation of administrative procedures in the V4 Group countries, in institutional, subjective and objective terms.Design/Methodology/Approach: The analysis of domestic and foreign legal texts was used to implement the research assumptions (general legal regulation of administrative procedure presented by the Codes of Administrative Procedure and COVID-19 regulations in the V4 Group countries). Empirical research using sociological research methods was conducted in connection with the analysis of currently applicable simplifying solutions [the author implemented a component of social research using both qualitative methods – individual in-depth interviews with adult residents with biographical experience of being a participant in the administrative procedure (20 adults – 5 from each country of the V4 Group) as well as quantitative methods – online survey with participants of the administrative procedure (120 adults – 30 from each country of the V4 Group)]. In the research, the statistical method was applied to better illustrate the effectiveness of the currently conducted administrative procedure and to answer the hypotheses regarding the legitimacy of the development of the idea of administrative simplification.Findings: The analysis shows that it is not yet possible to speak of an advanced development of administrative procedure in the Visegrad countries. The delay of the public administration in applying solutions that simplify administrative procedure is mainly due to unclear regulations and significant financial outlays needed. The above state of affairs has a negative impact not only on entities participating in the procedure but also on public administration bodies and administrative courts.Practical Implications/Originality/Value: The initiated process of simplifying and electronising administrative procedure must always take the form of comprehensive legal solutions that will allow for effective and efficient operation of public administration bodies and enable individuals to exercise their fundamental rights. Therefore, the article presents the latest difficulties related to the administrative procedure and examples of their solution.
Journal Article
Study on the law and application effect of variable fluidity polymer flooding to enhance oil recovery
2022
At present, our country most of reservoir with low permeability, strong heterogeneity and poor sand body development characteristics, so for maximizing the aggregate material oil displacement effect of technology on the basis of reservoir play, need on polymer flooding experiment foundation of the converter combined with oil displacement wall and degree of control theory and flow theory, polymer qualitative drop sticky technology is put forward. This paper first analyzed the introduction of variable fluidity polymer in detail, combined with the principle of variable fluidity polymer technology, summed up the experimental process and results of variable fluidity polymer flooding enhanced oil recovery.
Journal Article
Principles of Nuclear Medicine Imaging: Planar, SPECT, PET, Multi-modality, and Autoradiography Systems
The underlying principles of nuclear medicine imaging involve the use of unsealed sources of radioactivity in the form of radiopharmaceuticals. The ionizing radiations that accompany the decay of the administered radioactivity can be quantitatively detected, measured, and imaged in vivo with instruments such as gamma cameras. This paper reviews the design and operating principles, as well as the capabilities and limitations, of instruments used clinically and preclinically for in vivo radionuclide imaging. These include gamma cameras, single-photon emission computed tomography (SPECT) scanners, and positron emission tomography (PET) scanners. The technical basis of autoradiography is reviewed as well.
Journal Article
Exploring the Use of Associative Analogy Teaching in BME Computer Courses in Medical University
by
Qi, Fugui
,
Lei, Tao
,
Chen, Yizhu
in
associative analogy
,
Biomedical engineering
,
Cognitive science
2025
Current approaches to teaching Biomedical Engineering (BME)-related computer courses in medical universities often have unsatisfactory outcomes. A \"Microcomputer Principles and Interface Technology\" course was taken as a typical example to explore a new teaching method based on the idea of associative analogy.
Associative analogy was used as a core teaching principle. This puts special emphasis on the use of systematic associative analogies to promote systematic understanding and memorization of scattered knowledge points. Associative analogies form a multi-branch extension or logical-chain extension surrounding one practical example. This approach is also committed to transforming associative analogies into a constant feature of students' self-learning. Associative analogy teaching was applied over 2 years in a medical university in China and end of course questionnaires were given to students, teachers, and school experts.
The three-level evaluation results show that associative analogy teaching not only assists teachers and enhances the classroom atmosphere and interest in learning, but also helps cultivate an associative analogy learning mindset amongst students.
Associative analogy teaching has a beneficial impact on students' acquisition of course knowledge, independence of learning, and divergent thinking. It also has positive possibilities for education and teaching reform, and teachers' capacity for innovative teaching. Next directions will include the application of this teaching method to more computer courses to collect more teaching data. This will help to inform a more refined quantitative evaluation of the method's future potential.
Journal Article