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1.
Comput Math Methods Med ; 2021: 1546343, 2021.
Article in English | MEDLINE | ID: covidwho-1574507

ABSTRACT

As the COVID-19 pandemic continues, the need for a better health care facility is highlighted more than ever. Besides physical health, mental health conditions have become a significant concern. Unfortunately, there are few opportunities for people to receive mental health care. There are inadequate facilities for seeking mental health support even in big cities, let alone remote areas. This paper presents the structure and implementation procedures for a mental health support system combining technology and professionals. The system is a web platform where mental health seekers can register and use functionalities like NLP-based chatbot for personality assessment, chatting with like-minded people, and one-to-one video conferencing with a mental health professional. The video calling feature of the system has emotion detection capabilities using computer vision. The system also includes downloadable prescription facilities and a payment gateway for secure transactions. From a technological aspect, the conversational NLP-based chatbot and computer vision-powered video calling are the system's most important features. The system has a documentation facility to analyze the mental health condition over time. The web platform is built using React.js for the frontend and Express.js for the backend. MongoDB is used as the database of the platform. The NLP chatbot is built on a three-layered deep neural network model that is programmed in the Python language and uses the NLTK, TensorFlow, and Keras sequential API. Video conference is one of the most important features of the platform. To create the video calling feature, Express.js, Socket.io, and Socket.io-client have been used. The emotion detection feature is implemented on video conferences using computer vision, Haar Cascade, and TensorFlow. All the implemented features are tested and work fine. The targeted users for the platform are teenagers, youth, and the middle-aged population. Mental health-seeking is still considered taboo in some societies today. Apart from basic established facilities, this social dilemma of undergoing treatment for mental health is causing severe damage to individuals. A solution to this problem can be a remote platform for mental health support. With this goal in mind, this system is designed to provide mental health support to people remotely from anywhere worldwide.


Subject(s)
Mental Health , Software , Telemedicine , Humans , Internet , Natural Language Processing , User-Computer Interface , Videoconferencing
2.
J Med Internet Res ; 23(11): e30690, 2021 11 22.
Article in English | MEDLINE | ID: covidwho-1547138

ABSTRACT

BACKGROUND: Cognitive behavioral therapy is known to improve the management of chronic pain. However, the components of this therapy are still being investigated and debated. OBJECTIVE: This study aimed to examine the effectiveness of an integrated cognitive behavioral therapy program with new components (attention-shift, memory work, video feedback, and image training) delivered via videoconferencing. METHODS: This study was unblinded and participants were recruited and assessed face-to-face in the outpatient department. We conducted a randomized controlled trial for chronic pain to compare 16 weekly videoconference-based cognitive behavioral therapy (vCBT) sessions provided by a therapist with treatment as usual (TAU). Thirty patients (age range, 22-75 years) with chronic pain were randomly assigned to either vCBT (n=15) or TAU (n=15). Patients were evaluated at week 1 (baseline), week 8 (midintervention), and week 16 (postintervention). The primary outcome was the change in pain intensity, which was recorded using the numerical rating scale at 16 weeks from the baseline. Secondary outcomes were pain severity and pain interference, which were assessed using the Brief Pain Inventory. Additionally, we evaluated disability, pain catastrophizing cognition, depression, anxiety, quality of life, and cost utility. RESULTS: In the eligibility assessment, 30 patients were eventually randomized and enrolled; finally, 15 patients in the vCBT and 14 patients in the TAU group were analyzed. Although no significant difference was found between the 2 groups in terms of changes in pain intensity by the numerical rating scale scores at week 16 from baseline (P=.36), there was a significant improvement in the comprehensive evaluation of pain by total score of Brief Pain Inventory (-1.43, 95% CI -2.49 to -0.37, df=24; P=.01). Further, significant improvement was seen in pain interference by using the Brief Pain Inventory (-9.42, 95% CI -14.47 to -4.36, df=25; P=.001) and in disability by using the Pain Disability Assessment Scale (-1.95, 95% CI -3.33 to -0.56, df=24; P=.008) compared with TAU. As for the Medical Economic Evaluation, the incremental cost-effectiveness ratio for 1 year was estimated at 2.9 million yen (about US $25,000) per quality-adjusted life year gained. CONCLUSIONS: The findings of our study suggest that integrated cognitive behavioral therapy delivered by videoconferencing in regular medical care may reduce pain interference but not pain intensity. Further, this treatment method may be cost-effective, although this needs to be further verified using a larger sample size. TRIAL REGISTRATION: University Hospital Medical Information Network UMIN000031124; https://tinyurl.com/2pr3xszb.


Subject(s)
Chronic Pain , Cognitive Behavioral Therapy , Adult , Aged , Chronic Pain/therapy , Cost-Benefit Analysis , Humans , Middle Aged , Quality of Life , Treatment Outcome , Videoconferencing , Young Adult
3.
J Telemed Telecare ; 27(10): 615-624, 2021 Dec.
Article in English | MEDLINE | ID: covidwho-1546644

ABSTRACT

The patient, clinician and administration staff perspectives of telehealth (specifically videoconferencing) services provided by Allied Health Professions (AHP) at a large quaternary hospital were explored. The purpose was to understand stakeholders' perceptions of the service during initial COVID-19 restrictions and examine factors that influenced the implementation and sustained use of telehealth. A sequential mixed-methods approach was undertaken. Stage 1 involved surveys completed by patients (n = 109) and clinicians (n = 66) who received and provided care via telehealth, respectively, across six AHP departments. Stage 2 involved focus groups with clinicians (n = 24) and administrative staff (n = 13) to further examine implementation and sustainability factors.All participant groups confirmed that telehealth was a valid service model and valued the benefits it afforded, particularly during COVID-19 restrictions. Both patients and clinicians reported that not all AHP services could be delivered via telehealth and preferred a blended model of telehealth and in-person care. Increased administrative staff assistance was needed to support growing telehealth demand. Main factors to address are the need to expand AHP telehealth models and workforce/patient training, improve workflow processes and enhance technical support.Despite rapid implementation, telehealth experiences were overall positive. Study findings are being used to generate solutions to enhance and sustain AHP telehealth services.


Subject(s)
COVID-19 , Telemedicine , Hospitals , Humans , SARS-CoV-2 , Videoconferencing
4.
Curr Opin Obstet Gynecol ; 33(4): 317-323, 2021 08 01.
Article in English | MEDLINE | ID: covidwho-1526205

ABSTRACT

PURPOSE OF REVIEW: Effects of the coronavirus disease 2019 pandemic prompted the need for rapid, flexible change in the delivery of care, education, and commitment to the well-being of obstetrics and gynecology (OB/GYN) residents. RECENT FINDINGS: Published literature shows multiple models for surge scheduling for residency programs in other specialties. We describe our experience creating a surge schedule for OB/GYN residents that allowed for sufficient coverage of inpatient care while minimizing resident exposure and limited hospital resources, respecting work hour requirements, and plans for coverage due to illness or need for home quarantine. We also report innovative approaches to trainee education through the use of remote-learning technology and gynecologic surgery skills training in absence of normal clinical exposure. SUMMARY: Our approach serves as a model for adapting to unprecedented challenges and offers suggestions for creative transformations of traditional teaching that can be continued beyond the immediate crisis.


Subject(s)
Education, Distance/organization & administration , Education, Medical, Graduate/organization & administration , Internship and Residency/organization & administration , Obstetrics and Gynecology Department, Hospital , Continuity of Patient Care , Humans , Simulation Training , Videoconferencing
6.
Am J Clin Pathol ; 156(5): 839-845, 2021 10 13.
Article in English | MEDLINE | ID: covidwho-1510887

ABSTRACT

OBJECTIVES: The goal is to describe the use of a virtual platform in the delivery of Virtual Pathology Grand Rounds (VPGR) and discuss the overall experience from the perspective of hosts, speakers, and participants. METHODS: Zoom was a natural choice for an online format because virtual platforms had been increasingly used to conduct meetings and medical education. VPGR hosted 14 speakers on a variety of topics, including subspecialty anatomic pathology material, digital pathology, molecular pathology, and medical education. RESULTS: There were 221 registrants and 114 participants for the first lecture, reaching a maximum of 1,268 registrants for the 12th lecture and the maximum limit of 300 participants during 3 lectures. Speakers stated that VPGR conveniently provided career-building opportunities through partnerships with host universities and remote attendance. Participants identified a lack of interpersonal communication and technical challenges as downsides. CONCLUSIONS: VPGR serves as strong proof of concept for the feasibility and demand for high-quality, remote academic pathology talks.


Subject(s)
Pathology , Teaching Rounds , Videoconferencing , COVID-19 , Humans , SARS-CoV-2 , User-Computer Interface
7.
Neuron ; 109(20): 3196-3198, 2021 10 20.
Article in English | MEDLINE | ID: covidwho-1505578

ABSTRACT

Kay M. Tye shares how focusing on personal and team mental and physical health forms the necessary foundation for future success. In an interview with Neuron, she also discusses the need for better representation in STEM and how global lockdowns have reinvigorated her scientific interests in social homeostasis.


Subject(s)
Neurosciences , Women, Working , Work-Life Balance , COVID-19 , Humans , SARS-CoV-2 , Single Parent , Social Isolation , Travel , Videoconferencing
8.
Neuron ; 109(20): 3182-3183, 2021 10 20.
Article in English | MEDLINE | ID: covidwho-1505577

ABSTRACT

Gregory Quirk has worked in New York, Honduras, and Puerto Rico with a decades-long commitment to mentorship and the global promotion of neuroscience. In an interview with Neuron, he talks about his upcoming move to the University of the Philippines and how virtual meetings are making us rethink collaborations and interactions with members of the community.


Subject(s)
Congresses as Topic , Mentoring , Mentors , Neurosciences , Videoconferencing , COVID-19 , Cooperative Behavior , Humans , SARS-CoV-2
11.
Neuron ; 109(19): 3034-3035, 2021 10 06.
Article in English | MEDLINE | ID: covidwho-1482839

ABSTRACT

In this meeting report, I applaud the Neuromatch community, which runs virtual summer schools and conferences in response to the pandemic. Its members love science, aim to advance our understanding of the brain, and work extremely hard to include everyone.


Subject(s)
Neurosciences/education , Videoconferencing , COVID-19 , Neurosciences/trends , Pandemics , Teaching
13.
PLoS Comput Biol ; 17(10): e1009321, 2021 10.
Article in English | MEDLINE | ID: covidwho-1477507

ABSTRACT

In 2020, the world faced the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) pandemic that drastically altered people's lives. Since then, many countries have been forced to suspend public gatherings, leading to many conference cancellations, postponements, or reorganizations. Switching from a face-to-face to a remote conference became inevitable and the ultimate solution to sustain scientific exchanges at the national and the international levels. The same year, as a committee, we were in charge of organizing the major French annual conference that covers all computational biology areas: The "Journées Ouvertes en Biologie, Informatique et Mathématiques" (JOBIM). Despite the health crisis, we succeeded in changing the conference format from face to face to remote in a very short amount of time. Here, we propose 10 simple rules based on this experience to modify a conference format in an optimized and cost-effective way. In addition to the suggested rules, we decided to emphasize an unexpected benefit of this situation: a significant reduction in greenhouse gas (GHG) emissions related to travel for scientific conference attendance. We believe that even once the SARS-CoV-2 crisis is over, we collectively will have an opportunity to think about the way we approach such scientific events over the longer term.


Subject(s)
COVID-19 , Computational Biology , Congresses as Topic , Pandemics , SARS-CoV-2 , Videoconferencing , COVID-19/epidemiology , COVID-19/transmission , Computational Biology/organization & administration , Feasibility Studies , France , Greenhouse Gases/analysis , Humans , Interpersonal Relations , Teleworking , Travel
15.
Eur J Psychotraumatol ; 12(1): 1968141, 2021.
Article in English | MEDLINE | ID: covidwho-1475710

ABSTRACT

The no-visitor policies endorsed by healthcare organizations to limit COVID-19 virus risk exposure have unfortunately contributed to the isolation of patients further exacerbating distress in relatives and frontline healthcare workers. To contrast such effects, many healthcare institutions have adopted technology-based solutions helping patients and families communicate online through the aid of virtual devices. To date, no study has investigated whether facilitating patient-family videocalls would mitigate distress levels in frontline healthcare professionals. Caring for emotional needs of patients by re-establishing affiliative connections interrupted by the pandemic through patient-family videocalls is expected to mitigate distress in engaged healthcare workers as an example of a tend-and-befriend response to stress caused by the pandemic. We tested this hypothesis in a cross-sectional study conducted during 1-30 June 2020, involving 209 healthcare workers (nurses = 146; physicians = 63) engaged in the COVID-19 frontline in Italy. Half of participants in our sample (n = 107) had assisted efforts aimed at connecting patients remotely with families through videocalls. Psychological distress measures included symptoms of burnout, post-traumatic stress, anxiety, depression, and difficulty in sleep and wakefulness. Partially in line with our expectations we found a modulation effect specific for professional category: nurses assisting patient-family videocalls reported significantly lower levels of distress and a better quality of wakefulness compared to those who did not, whereas physicians reported higher levels of distress during such virtual communications. We interpret these findings from the perspective of patient-family communication and differences in skills and training between nurses and physicians. These findings highlight that technology-based solutions aimed at reducing barriers and alleviating distress in healthcare settings should be promoted in concert with skill enhancement training for healthcare professionals especially in terms of communicating online and communicating difficult topics with patients and families.


La política de no recibir visitas que ha sido legitimada por organizaciones de atención de salud para limitar el riesgo de la exposición al virus COVID-19 ha contribuido en forma desafortunada al aislamiento de los pacientes, lo que aumenta el malestar/angustia en familiares y en trabajadores de salud de la primera línea. Para contrastar tales efectos, muchas instituciones de salud han adoptado soluciones basadas en la tecnología para ayudar a pacientes y familiares a comunicarse en línea a través de la ayuda de dispositivos virtuales. Hasta la fecha, ningún estudio ha investigado si es que la facilitación de video llamadas paciente-familiares pudiese mitigar el nivel de angustia en profesionales de salud de primera línea. Se espera que el cuidado de las necesidades emocionales de los pacientes mediante el restablecimiento de conexiones afilativas interrumpidas por la pandemia a través de video llamadas entre el paciente y la familia ayude a mitigar la angustia en los trabajadores de la salud como un ejemplo de una respuesta de "cuidar y hacer amigos" a la angustia causada por la pandemia. Probamos esta hipótesis en un estudio transversal realizado entre el 01 y el 30 de junio del 2020, en la que participaron 209 trabajadores de la salud (enfermeras=146; médicos=63) involucrados en la atención de la primera línea del COVID-19 en Italia. La mitad de los participantes en nuestra muestra (n=107) habían asistido a esfuerzos destinados a conectar a los pacientes en forma remota con sus familias a través de video-llamadas. Las medidas de angustia psicológica incluyeron síntomas de burnout, estrés postraumático, ansiedad, depresión, dificultad para dormir y estar despiertos. Parcialmente en línea con nuestras expectativas, encontramos un efecto modulador específico para la categoría profesional: Las enfermeras que asistían las video llamadas de los pacientes con sus familias reportaron significativamente menor nivel de angustia y una mejor calidad de vigilia en comparación con las que no lo hicieron, mientras los médicos reportaron mayores niveles de angustia durante tales comunicaciones virtuales. Interpretamos estos hallazgos desde la perspectiva de la comunicación paciente-familia y las diferencias en las habilidades y formación entre las enfermeras y los médicos. Estos hallazgos destacan que las soluciones basadas en la tecnología destinadas a reducir las barreras y aliviar la angustia en los entornos de atención de salud deben promoverse junto con la capacitación para la mejora de habilidades para profesionales de la salud especialmente en términos de comunicarse en línea y comunicar temáticas difíciles a pacientes y familiares.医疗机构批准的限制 COVID-19 病毒风险暴露的无访客政策不幸导致患者被隔离,进一步加剧了亲属和一线医护人员的痛苦。为了应对这种影响,许多医疗机构采用了基于技术的解决方案,通过虚拟设备帮助患者和家人进行在线沟通。迄今为止,还没有研究考查帮助患者家庭视频通话是否会减轻一线医疗保健专业人员的痛苦程度。通过患者家属视频通话重建因疫情中断的亲友联系来照顾患者的情感需求,有望作为一个对疫情引发应激的照料与结盟反应的例子,减轻敬业的医护人员的困扰。我们在 2020 å¹´ 6 月 1 日至 30 日期间进行的一项横断面研究中检验了这一假设#x0FF0C;涉及在意大利从事 COVID-19 一线工作的 209 名医护人员(护士 = 146; 医生 = 63)。我们样本中的一半参与者 (n=107) 协助了旨在通过视频通话将患者与家人远程联系起来的努力。心理困扰测量包括倦怠、创伤后应激、焦虑、抑郁以及睡眠和清醒困难的症状。部分符合我们的预期,我们发现了特定于专业类别的中介效应: 相较于未协助患者家属视频通话的护士,协助患者家属视频通话的护士报告的痛苦程度显著降低,清醒质量更好,而医生在这种虚拟通信过程中报告了更高的痛苦。我们从患者与家属的沟通以及护士和医生之间技能和培训的差异的角度来解释这些结果。这些发现强调了旨在减少障碍和减轻医护环境中痛苦的技术解决方案应与医疗保健专业人员的医护技能增强培训(尤其是在在线沟通和与患者和家属沟通困难话题方面)一起推广。.


Subject(s)
COVID-19/therapy , Family/psychology , Health Personnel/psychology , Inpatients/psychology , Psychological Distress , Videoconferencing/instrumentation , Adult , Cross-Sectional Studies , Female , Hospitals , Humans , Italy , Male , Middle Aged , Quarantine , Technology
16.
Neuron ; 109(20): 3179-3181, 2021 10 20.
Article in English | MEDLINE | ID: covidwho-1471681

ABSTRACT

Shubha Tole, Dean of Graduate Studies at the Tata Institute of Fundamental Research in Mumbai, India, shares with Neuron her approach to mentorship during these challenging times, how connecting diverse perspectives across the globe makes us stronger, and her love of the arts-including classical dance and poetry.


Subject(s)
Mentoring , Mentors , Neurosciences , COVID-19 , Humans , India , SARS-CoV-2 , Videoconferencing
18.
Int J Environ Res Public Health ; 18(19)2021 Oct 05.
Article in English | MEDLINE | ID: covidwho-1457880

ABSTRACT

Many of the tools used for virtual teaching during the pandemic had not been used previously, but they could continue to be used when traditional teaching returns. For this reason, this study focused on locating the key motivational factors for the possible continuation of the use of one of these tools, videoconferencing, to carry out tutorials in Spanish universities as a complement to face-to-face tutorials. For this, a literary review was conducted to obtain a list of motivational factors that may influence teachers to continuing using it, and a causal study was performed with university professors (through fuzzy cognitive maps) to identify the causal relationships among these factors and classify them by their relevance in making a decision. The most influential factors are intention, attitude and perceived compatibility with how tutorials are given, and the negative factors include quality management and trust.


Subject(s)
COVID-19 , Universities , Humans , Motivation , Pandemics , Videoconferencing
20.
Law Hum Behav ; 45(2): 97-111, 2021 04.
Article in English | MEDLINE | ID: covidwho-1452487

ABSTRACT

OBJECTIVE: Tele-forensic interviews have the potential to aid investigations when children live far from interviewers, there is a risk of disease transmission, or when expertise is not locally available. However, it is unknown whether tele-forensic interviewing is an effective alternative to face-to-face interviewing, particularly for children most prone to suggestibility and lapses of attention. HYPOTHESES: Previous studies suggested that school-age children would provide similar amounts of information across interview modes but provided no basis for predicting how misinformation impacts accuracy across modes or how 4- and 5-year-olds would react to tele-forensic interviewing. METHOD: Children (4-8 years, N = 261, Mage = 6.42 years, 48% female) interacted with male assistants who violated a no-touching rule, parents read children a book containing misinformation about that event, and female assistants conducted interviews (usually 2 weeks after the event) face-to-face or via a video conference application. RESULTS: The children were more talkative during a practice narrative phase when interviewed face-to-face rather than on screen (incidence rate ratio [IRR] = 1.26, 95% CI [1.06, 1.51]), and 4-, 5-, and 6-year-olds said more in response to open-ended prompts when interviewed face-to-face (IRR = 1.50, 95% CI [1.08, 2.09]). Children younger than 7 years also disclosed the face touch and noncompleted handshake in response to earlier and less directive prompts when interviewed face-to-face, rs(53) = .28, p = .037, and rs(48) = .33, p = .021, respectively. Children 8 years and older, however, disclosed the face touch more readily when they spoke on screen, rs(28) = -.38, p = .036, and older 7-year-olds and 8-year-olds disclosed the noncompleted handshake more readily on screen, rs(30) = -.36, p = .042. Across interview modes, children reported comparable numbers of touch events, however, and were equally accurate on challenging source-monitoring and detail questions. CONCLUSIONS: Tele-forensic interviewing can be a reasonable alternative to face-to-face interviewing. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Subject(s)
Interviews as Topic/methods , Minors , Videoconferencing , Child , Child, Preschool , Criminal Law/methods , Female , Humans , Male
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