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1.
Health Informatics J ; 26(4): 2762-2775, 2020 12.
Article in English | MEDLINE | ID: mdl-32686560

ABSTRACT

A major challenge of tuberculosis diagnosis is the lack of universal accessibility to bacteriological confirmation. Computer-aided diagnostic interventions have been developed to address this gap and their successful implementation depends on many health systems factors. A socio-technical system to implement a computer-aided diagnostic tuberculosis diagnosis was preliminary tested in five primary health centers located in Lima, Peru. We recruited nurses (n = 7) and tuberculosis physicians (n = 5) from these health centers to participate in a field trial of an mHealth tool (eRx X-ray diagnostic app). From September 2018 to February 2019, the nurses uploaded images of chest X-rays using smartphones and the physicians reviewed those images on web-based platforms using tablets. Both completed weekly written feedback about their experience. Each nurse participated for a median duration of 12 weeks (interquartile range = 7.5-15.5), but image upload was only possible at a median of 58 percent (interquartile range = 35.1%-84.4%) of those weeks. Each physician participated for a median duration of 17 weeks (interquartile range = 12-17), but X-ray image review was only possible at a median of 52 percent (interquartile range = 49.7%-57.4%) of those weeks. Heavy workload was most frequently provided as the reason for missing data. Several infrastructural and technological challenges impaired the effective implementation of the mHealth tool, irrespective of its diagnostic accuracy.


Subject(s)
Telemedicine , Tuberculosis , Health Personnel , Humans , Peru , Tuberculosis/diagnostic imaging
2.
J Res Natl Inst Stand Technol ; 113(3): 131-42, 2008.
Article in English | MEDLINE | ID: mdl-27096116

ABSTRACT

This is the third in a series of articles that describe, through examples, how the Scientific Applications and Visualization Group (SAVG) at NIST has utilized high performance parallel computing, visualization, and machine learning to accelerate scientific discovery. In this article we focus on the use of high performance computing and visualization for simulations of nanotechnology.

3.
J Res Natl Inst Stand Technol ; 107(3): 223-45, 2002.
Article in English | MEDLINE | ID: mdl-27446728

ABSTRACT

This is the second in a series of articles describing a wide variety of projects at NIST that synergistically combine physical science and information science. It describes, through examples, how the Scientific Applications and Visualization Group (SAVG) at NIST has utilized high performance parallel computing, visualization, and machine learning to accelerate research. The examples include scientific collaborations in the following areas: (1) High Precision Energies for few electron atomic systems, (2) Flows of suspensions, (3) X-ray absorption, (4) Molecular dynamics of fluids, (5) Nanostructures, (6) Dendritic growth in alloys, (7) Screen saver science, (8) genetic programming.

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