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1.
PLoS One ; 17(2): e0263668, 2022.
Article in English | MEDLINE | ID: mdl-35130314

ABSTRACT

The digitalization process for organizations, which was inevitably accelerated by the COVID-19 pandemic, raises relevant challenges for Human Resource Management (HRM) because every technological implementation has a certain impact on human beings. Between many organizational HRM practices, recruitment and assessment interviews represent a significant moment where a social interaction provides the context for evaluating candidates' skills. It is therefore relevant to investigate how different interaction frames and relational conditions affect such task, with a specific focus on the differences between face-to-face (FTF) and remote computer-mediated (RCM) interaction settings. In particular, the possibility of qualifying and quantifying the mechanisms shaping the efficiency of interaction in the recruiter-candidate dyad-i.e. interpersonal attunement-is potentially insightful. We here present a neuroscientific protocol aimed at elucidating the impact of FTF vs. RCM modalities on social dynamics within assessment interviews. Specifically, the hyperscanning approach, understood as the concurrent recording and integrated analysis of behavioural-physiological responses of interacting agents, will be used to evaluate recruiter-candidate dyads while they are involved in either FTF or RCM conditions. Specifically, the protocol has been designed to collect self-report, oculometric, autonomic (electrodermal activity, heart rate, heart rate variability), and neurophysiological (electroencephalography) metrics from both inter-agents to explore the perceived quality of the interaction, automatic visual-attentional patterns of inter-agents, as well as their cognitive workload and emotional engagement. The proposed protocol will provide a theoretical evidence-based framework to assess possible differences between FTF vs. RMC settings in complex social interactions, with a specific focus on job interviews.


Subject(s)
Employment/statistics & numerical data , Eye Movements/physiology , Interviews as Topic/statistics & numerical data , Personnel Selection/methods , Psychometrics , Telecommunications/statistics & numerical data , Employment/psychology , Humans , Surveys and Questionnaires , Video Recording
2.
Proc Natl Acad Sci U S A ; 118(26)2021 06 29.
Article in English | MEDLINE | ID: mdl-34162708

ABSTRACT

In response to the novel coronavirus disease (COVID-19), governments have introduced severe policy measures with substantial effects on human behavior. Here, we perform a large-scale, spatiotemporal analysis of human mobility during the COVID-19 epidemic. We derive human mobility from anonymized, aggregated telecommunication data in a nationwide setting (Switzerland; 10 February to 26 April 2020), consisting of ∼1.5 billion trips. In comparison to the same time period from 2019, human movement in Switzerland dropped by 49.1%. The strongest reduction is linked to bans on gatherings of more than five people, which are estimated to have decreased mobility by 24.9%, followed by venue closures (stores, restaurants, and bars) and school closures. As such, human mobility at a given day predicts reported cases 7 to 13 d ahead. A 1% reduction in human mobility predicts a 0.88 to 1.11% reduction in daily reported COVID-19 cases. When managing epidemics, monitoring human mobility via telecommunication data can support public decision makers in two ways. First, it helps in assessing policy impact; second, it provides a scalable tool for near real-time epidemic surveillance, thereby enabling evidence-based policies.


Subject(s)
COVID-19/epidemiology , SARS-CoV-2 , Telecommunications/statistics & numerical data , Health Policy/trends , Humans , Population Surveillance , Public Health , Switzerland/epidemiology , Travel/statistics & numerical data
3.
Epidemiol Infect ; 149: e115, 2021 04 12.
Article in English | MEDLINE | ID: mdl-33843539

ABSTRACT

In 2009, the Robert Koch Institute (RKI) and the 16 German federal state public health authorities (PHAs) established a weekly epidemiological teleconference (EpiLag) to discuss infectious disease (ID) events and foster horizontal and vertical information exchange. We present the procedure, discussed ID topics and evaluation results of EpiLag after 10 years. We analysed attendance, duration of EpiLag and the frequency of reported events. Participants (RKI and state PHA) were surveyed regarding their satisfaction with logistics, contents and usefulness of EpiLag (Likert scales). Between 2009 and 2018, RKI hosted 484 EpiLag conferences with a mean duration of 25 min (range: 4-60) and high participation (range: 9-16; mean: 15 PHAs). Overall, 2975 ID events (39% international, 9% national and 52% subnational) were presented (mean: 6.1 per EpiLag), most frequently on measles (18%), salmonellosis (8%) and influenza (5%). All responding participants (14/16 PHAs and 9/9 at RKI) were satisfied with the EpiLag's organization and minutes and deemed EpiLag useful for an overview and information distribution on ID events relevant to Germany. EpiLag is time efficient, easily applicable and useful for a low-threshold event communication. It supports PHAs in crises and strengthens the network of surveillance stakeholders. We recommend its implementation to other countries or sectors.


Subject(s)
Communicable Diseases/epidemiology , Health Communication/methods , Telecommunications , Epidemiological Monitoring , Germany/epidemiology , Health Information Exchange , Humans , Information Dissemination , Program Evaluation , Stakeholder Participation , Telecommunications/organization & administration , Telecommunications/statistics & numerical data
4.
Circ J ; 85(3): 323-329, 2021 02 25.
Article in English | MEDLINE | ID: mdl-33518695

ABSTRACT

Due to the COVID-19 pandemic, the 84thAnnual Meeting of the Japanese Circulation Society (JCS) was held in a web-based format for the first time in its history as "The Week for JCS 2020" from Monday, July 27 to Sunday, August 2, 2020. All sessions, including general abstracts, were streamed live or on-demand. The main theme of the meeting was "Change Practice!" and the aim was to organize the latest findings in the field of cardiovascular medicine and discuss how to change practice. The total number of registered attendees was over 16,800, far exceeding our expectations, and many of the sessions were viewed by far more people than at conventional face-to-face scientific meetings. At this conference, the power of online information dissemination was fully demonstrated, and the evolution of online academic meetings will be a direction that cannot be reversed in the future. The meeting was completed with great success, and we express our heartfelt gratitude to all affiliates for their enormous amount of work, cooperation, and support.


Subject(s)
Cardiology/organization & administration , Congresses as Topic/organization & administration , Societies, Scientific/organization & administration , Telecommunications/organization & administration , Cardiology/trends , Cardiovascular Diseases/diagnostic imaging , Cardiovascular Diseases/therapy , Congresses as Topic/statistics & numerical data , Congresses as Topic/trends , Humans , Japan , Research , Surveys and Questionnaires , Telecommunications/statistics & numerical data , Telecommunications/trends
5.
Eur Rev Med Pharmacol Sci ; 25(24): 7829-7832, 2021 12.
Article in English | MEDLINE | ID: mdl-34982444

ABSTRACT

OBJECTIVE: As a result of COVID-19 pandemic, the 2021 US residency MATCH was devoid of the traditional in-person interviews. Herein, we assess the impact of Virtual Interviews (VIs) on resident selection, from the perspectives of Orthopedic Surgery (OS) Program Directors (PDs). MATERIALS AND METHODS: A 14-item survey was sent to PDs of ACGME-accredited OS residencies. Questions were designed to assess the pros, cons, and robustness of VIs compared to their antecedent in-person format. RESULTS: Forty-seven PDs responded to our survey. VIs antagonized PDs' ability to assess applicants' fit to program (76.6%), commitment to specialty (64%), and interpersonal skills (68.1%). This led to heavier dependence upon applicants' portfolios (64%). Almost all respondents (97.9%) found VIs to be more cost-efficient, saving a median of $3000 in interview-related expenses. Overall, only 8.5% of PDs were willing to conduct exclusive VIs in future cycles, compared to the majority in favor of dual formats (51.5%) or exclusive in-person interviews (40.4%). CONCLUSIONS: VIs have been an overall success, making most PDs opt for dual interview formats in future cycles. How this technology is further implemented in the future remains to be seen.


Subject(s)
COVID-19/prevention & control , Internship and Residency/organization & administration , Orthopedic Procedures/education , Physician Executives/statistics & numerical data , Telecommunications/statistics & numerical data , COVID-19/epidemiology , Communicable Disease Control/standards , Cross-Sectional Studies , Humans , Internship and Residency/standards , Internship and Residency/statistics & numerical data , Internship and Residency/trends , Orthopedic Procedures/standards , Pandemics/prevention & control , Personnel Selection/methods , Personnel Selection/standards , Personnel Selection/statistics & numerical data , Personnel Selection/trends , Surveys and Questionnaires/statistics & numerical data , Telecommunications/standards , Telecommunications/trends
6.
Am J Surg ; 222(1): 99-103, 2021 07.
Article in English | MEDLINE | ID: mdl-33189309

ABSTRACT

BACKGROUND: The COVID crisis hit during the interview season for the Complex General Surgical Oncology (CGSO) fellowship. With minimal time to adapt, all programs transitioned to virtual interviews. Here we describe the experience of both program directors (PDs) and candidates with virtual interviews, and provide guidelines for implementation based on the results. METHODS: Surveys regarding interview day specifics and perceptions were created for CGSO fellowship PDs and candidates. They were distributed at the conclusion of the season, prior to match. RESULTS: Thirty (94%) PDs and 64 (79%) candidates responded. Eighty-three% of PDs and 79% of candidates agreed or strongly agreed that they felt comfortable creating a rank list. If given the choice, 60% of PDs and 45% of candidates would choose virtual interviews over in-person interviews. The majority of candidates found PD overviews, fellows only sessions and pre-interview materials helpful. CONCLUSION: Overall, the majority of PDs and candidates felt comfortable creating a rank list; however, more PDs preferred virtual interviews for the future. Our results also confirm key components of a virtual interview day.


Subject(s)
Internship and Residency/organization & administration , Personal Satisfaction , Personnel Selection/methods , Surgical Oncology/education , Telecommunications/organization & administration , Adult , COVID-19/epidemiology , COVID-19/prevention & control , Communicable Disease Control/standards , Female , Humans , Internship and Residency/methods , Internship and Residency/statistics & numerical data , Male , Pandemics/prevention & control , Personnel Selection/organization & administration , Personnel Selection/standards , Personnel Selection/statistics & numerical data , Surgeons/psychology , Surgeons/statistics & numerical data , Surgical Oncology/organization & administration , Surgical Oncology/standards , Surveys and Questionnaires/statistics & numerical data , Telecommunications/standards , Telecommunications/statistics & numerical data
7.
Clin Neuropsychol ; 35(1): 115-132, 2021 01.
Article in English | MEDLINE | ID: mdl-32615854

ABSTRACT

Objective: The Covid-19 pandemic disrupted instructional activity in neuropsychology training programs. In response, the Association of Postdoctoral Programs in Clinical Neuropsychology (APPCN) launched a multisite didactic initiative (MDI). This manuscript describes the development and implementation of the MDI and presents findings from a recently conducted online survey concerning MDI participation.Methods: Faculty and trainees at APPCN member programs were recruited to complete the MDI survey, administered using the Qualtrics platform, through email announcements and via website link and on-screen quick response code shared at online didactic sessions. The MDI survey instrument was designed to capture basic demographics and professional role; information regarding level of site participation, benefits of participation, barriers to participation, online conference platform(s) used, and interest in continued participation; as well as anxiety and work engagement ratings.Results: The response rate was estimated to be 21-29%. Transition to videoconferencing for didactics was noted by 80% due to Covid-19, with 17% of respondents experiencing cancellation or reduction in didactic activities. About 79% endorsed that participation in MDI activities was always or nearly always beneficial. Barriers to participation included not having time, difficulty accessing didactic information, and not knowing about the MDI. Interestingly, trainees at nonparticipating sites reported greater anxiety than trainees at participating sites.Conclusion: It is hoped that these findings will inform future efforts to develop and implement online training activities. The benefits reported by respondents suggest that this work is warranted, while reported barriers to participation identify areas for improvement.


Subject(s)
COVID-19 , Education, Distance , Neuropsychology/education , Telecommunications , Adult , Education, Distance/organization & administration , Education, Distance/standards , Education, Distance/statistics & numerical data , Humans , Neuropsychology/statistics & numerical data , Surveys and Questionnaires , Telecommunications/organization & administration , Telecommunications/standards , Telecommunications/statistics & numerical data
8.
MMWR Morb Mortal Wkly Rep ; 69(44): 1648-1653, 2020 Nov 06.
Article in English | MEDLINE | ID: mdl-33151918

ABSTRACT

Since March 2020, large-scale efforts to reduce transmission of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), have continued. Mitigation measures to reduce workplace exposures have included work site policies to support flexible work site options, including telework, whereby employees work remotely without commuting to a central place of work.* Opportunities to telework have varied across industries among U.S. jobs where telework options are feasible (1). However, little is known about the impact of telework on risk for SARS-CoV-2 infection. A case-control investigation was conducted to compare telework between eligible symptomatic persons who received positive SARS-CoV-2 reverse transcription-polymerase chain reaction (RT-PCR) test results (case-patients, 153) and symptomatic persons with negative test results (control-participants, 161). Eligible participants were identified in outpatient health care facilities during July 2020. Among employed participants who reported on their telework status during the 2 weeks preceding illness onset (248), the percentage who were able to telework on a full- or part-time basis was lower among case-patients (35%; 42 of 120) than among control-participants (53%; 68 of 128) (p<0.01). Case-patients were more likely than were control-participants to have reported going exclusively to an office or school setting (adjusted odds ratio [aOR] = 1.8; 95% confidence interval [CI] = 1.2-2.7) in the 2 weeks before illness onset. The association was also observed when further restricting to the 175 participants who reported working in a profession outside the critical infrastructure† (aOR = 2.1; 95% CI = 1.3-3.6). Providing the option to work from home or telework when possible, is an important consideration for reducing the risk for SARS-CoV-2 infection. In industries where telework options are not available, worker safety measures should continue to be scaled up to reduce possible worksite exposures.


Subject(s)
Coronavirus Infections/complications , Coronavirus Infections/epidemiology , Pneumonia, Viral/complications , Pneumonia, Viral/epidemiology , Symptom Assessment , Telecommunications/statistics & numerical data , Work/statistics & numerical data , Adolescent , Adult , Ambulatory Care Facilities , COVID-19 , Case-Control Studies , Female , Humans , Male , Middle Aged , Pandemics , United States/epidemiology , Young Adult
9.
J Headache Pain ; 21(1): 128, 2020 Oct 29.
Article in English | MEDLINE | ID: mdl-33121445

ABSTRACT

BACKGROUND: The Covid-19 pandemic is causing changes in delivery of medical care worldwide. It is not known how the management of headache patients was affected by the lockdown during the pandemic. The aim of the present study was to investigate how the initial phase of the Covid-19 pandemic affected the hospital management of headache in Denmark and Norway. METHODS: All neurological departments in Denmark (n = 14) and Norway (n = 18) were invited to a questionnaire survey. The study focused on the lockdown and all questions were answered in regard to the period between March 12th and April 15th, 2020. RESULTS: The responder rate was 91% (29/32). Of the neurological departments 86% changed their headache practice during the lockdown. The most common change was a shift to more telephone consultations (86%). Video consultations were offered by 45%. The number of new headache referrals decreased. Only 36% administered botulinum toxin A treatment according to usual schemes. Sixty% reported that fewer patients were admitted for in-hospital emergency diagnostics and treatment. Among departments conducting headache research 57% had to halt ongoing projects. Overall, 54% reported that the standard of care was worse for headache patients during the pandemic. CONCLUSION: Hospital-based headache care and research was impacted in Denmark and Norway during the initial phase of the Covid-19-pandemic.


Subject(s)
Coronavirus Infections , Delivery of Health Care , Headache Disorders/therapy , Neurology , Pandemics , Pneumonia, Viral , Telemedicine/statistics & numerical data , Betacoronavirus , Botulinum Toxins, Type A/therapeutic use , COVID-19 , Cluster Headache/diagnosis , Cluster Headache/therapy , Denmark , Disease Management , Headache/diagnosis , Headache/therapy , Headache Disorders/diagnosis , Hospital Departments , Hospitalization/statistics & numerical data , Humans , Migraine Disorders/diagnosis , Migraine Disorders/therapy , Neuromuscular Agents/therapeutic use , Norway , Outpatient Clinics, Hospital , Referral and Consultation , SARS-CoV-2 , Surveys and Questionnaires , Telecommunications/statistics & numerical data , Videoconferencing/statistics & numerical data
11.
Int J Med Inform ; 136: 104085, 2020 04.
Article in English | MEDLINE | ID: mdl-32120317

ABSTRACT

BACKGROUND: Smartphone to-do list app was hypothesized to be more efficient than a paper-based list in the management of workflow and to provide additional benefits. PURPOSE: To analyze the impact of a mobile task-management application on the workflow of an ICU medical staff. METHODS: Superiority by a margin test, quasi-experimental study comparing the use of a smartphone application versus standard practice regarding tasks management in an academic ICU. Superiority margin was set at 8 % based on a pilot study. During two periods of 20 working days each (October 2018 and January 2019), medical staff managed tasks with both methods on a weekly rotation basis. Primary outcome was the proportion of daily tasks completed. Secondary outcomes assessed users' satisfaction and the impact of the app in terms of changes in clinical practice. RESULTS: 25 ICU physicians were enrolled. A total of 1983 tasks were recorded. The proportion of completed tasks per day was higher when using the smartphone app (99 % [96-100] versus 95 % [93-98] for the standard group, p = 0.006), but did not reach the superiority margin. Smartphone application was perceived as positive experience, as participants felt that they forgot fewer tasks (p = 0.02), were more aware of their progress on ongoing or remaining tasks (p = 0.03) and observed an improvement in communication among the medical staff (p = 0.03). CONCLUSION: This study failed to demonstrate the superiority of a smartphone app over paper-based lists regarding the proportion of daily tasks completed. However, positive feedback regarding the application was received from the medical staff.


Subject(s)
Health Personnel/statistics & numerical data , Intensive Care Units/organization & administration , Intensive Care Units/standards , Mobile Applications/statistics & numerical data , Smartphone/statistics & numerical data , Telecommunications/statistics & numerical data , Workflow , Adult , Female , Humans , Male , Non-Randomized Controlled Trials as Topic , Pilot Projects , Prospective Studies , Telecommunications/instrumentation
12.
Am J Geriatr Psychiatry ; 28(4): 491-494, 2020 04.
Article in English | MEDLINE | ID: mdl-31530457

ABSTRACT

OBJECTIVE: The objective for the current study is to examine patient satisfaction with geropsychiatry services provided via video telehealth. METHODS: Participants included community-dwelling older Veterans receiving geriatric psychiatry services via telehealth across regions of the Pacific Northwest and Southwestern United States. Participants completed a paper-based survey examining satisfaction with services following the completion of two medication management visits with a geropsychiatrist. RESULTS: The majority of participants (90%) reported liking or even preferring geriatric telepsychiatry, despite the experience being novel for the majority of patients. Eighty-three percent of participants reported that receiving telegeropsychiatry services was the same (n = 30) or better (n = 3) than being seen in-person. Participants saved an average of 168 driving miles (means and standard deviations = 59.2; range 2-480) each visit. CONCLUSION: The findings of the current study suggest that older adults accept and are broadly satisfied with telegeropsychiatry services. This modality of care increased access to specialty care and decreased travel hardship.


Subject(s)
Geriatric Psychiatry , Patient Satisfaction/statistics & numerical data , Telecommunications/statistics & numerical data , Aged , Female , Humans , Male , Patient Acceptance of Health Care , Telecommunications/trends
13.
Resuscitation ; 146: 96-102, 2020 01 01.
Article in English | MEDLINE | ID: mdl-31756360

ABSTRACT

BACKGROUND: Dispatcher-assisted cardiopulmonary resuscitation (DACPR) could improve the survival rate of out-of-hospital cardiac arrest (OHCA). However, the efficiency of DACPR varies. Our study compared the effectiveness of DACPR instructed via landline calls, mobile calls, and landline calls transferred to mobiles. METHOD: This prospective cohort study enrolled patients with OHCA between 1 July 2017 and 30 November 2018 in Taichung. Patients were divided into a mobile group and a landline group according to device used to call emergency medical services (EMS). The landline group was subdivided according to whether the call was transferred to a mobile. We compared the DACPR rate and call to chest compression time between groups. RESULTS: The study comprised 2404 cases after exclusion: 934 cases of DACPR via mobile and 1470 via landline. In the mobile group, DACPR rate (54% vs. 47.5%, P <  0.001) was higher and call to chest compression time (median: 156 s vs. 174 s P < 0.001) was shorter than in the landline group. In the transferred group, DACPR rate (72.7% vs. 28.8%, P <  0.001) was higher than in the non-transferred group, but no difference was observed in call to chest compression time (median: 173 s vs. 177 s, P = 0.69). CONCLUSION: According to this city-based prospective clinical study, communication over mobiles resulted in higher DACPR rate and shorter call to chest compression time than that over landlines. Transferring calls from a landline to a mobile could increase the DACPR rate without delaying the initiation of chest compression.


Subject(s)
Cardiopulmonary Resuscitation , Distance Counseling/organization & administration , Emergency Medical Dispatch , Emergency Medical Service Communication Systems/organization & administration , Heart Massage , Aged , Cardiopulmonary Resuscitation/methods , Cardiopulmonary Resuscitation/statistics & numerical data , Cohort Studies , Emergency Medical Dispatch/methods , Emergency Medical Dispatch/statistics & numerical data , Female , Heart Massage/methods , Heart Massage/statistics & numerical data , Humans , Male , Out-of-Hospital Cardiac Arrest/diagnosis , Out-of-Hospital Cardiac Arrest/mortality , Out-of-Hospital Cardiac Arrest/therapy , Outcome and Process Assessment, Health Care , Prospective Studies , Survival Analysis , Taiwan/epidemiology , Telecommunications/instrumentation , Telecommunications/statistics & numerical data , Time-to-Treatment/statistics & numerical data
14.
Child Psychiatry Hum Dev ; 50(6): 907-917, 2019 12.
Article in English | MEDLINE | ID: mdl-31062126

ABSTRACT

Child depression and anxiety have been associated with electronic media use, but the comorbidity between the two has rarely been accounted for in analyses. We examined both child and parent reports of electronic media use in relation to parent-reported child depression and anxiety. Using survey and interview data collected for 9- to 11-year-olds from the 21-site adolescent brain cognitive development study, we conducted generalized linear mixed models. Our results demonstrated that electronic media use was more strongly associated with depression than anxiety, and that accounting for depression significantly reduced the relationship between electronic media use and anxiety. Different categories of electronic media showed differential relationships to anxiety and depression, with video gaming and video chatting related to anxiety, but video watching related to depression. These findings provide important data to ground theories of the mechanisms that contribute to these associations.


Subject(s)
Anxiety/epidemiology , Depression/epidemiology , Internet/statistics & numerical data , Screen Time , Telecommunications/statistics & numerical data , Video Games/statistics & numerical data , Child , Female , Humans , Male , Parents , Self Report
15.
Aesthet Surg J ; 39(7): 714-718, 2019 06 21.
Article in English | MEDLINE | ID: mdl-30820528

ABSTRACT

BACKGROUND: Skype video telemedicine consults are gaining popularity to evaluate patients from distant locations. No study has analyzed the utility of this means of patient evaluation in a cosmetic oculoplastic patient population. OBJECTIVES: The authors sought to provide an evidence-based analysis of the utility of Skype video consults in a cosmetic oculoplastic surgery patient population with regards to patient demographics, reasons for consult, and procedural conversion rate. METHODS: A 1-year retrospective chart review (May 2016 to May 2017) of patients who underwent aesthetic oculoplastic Skype consults from 2 authors' practices was performed. The authors analyzed patient demographics, referral source, chief complaint, location of residence, length of consult, and conversion to face-to-face consultation and intervention. RESULTS: Seventy-nine patients (60 women and 19 men) underwent Skype evaluations. Mean age was 49 years. Sixty-four consults (81%) lasted 15 minutes or less. Referral sources included the internet (67%), another physician (19%), self-referral (7.5%), referred by former patients (4%), and social media sites (2.5%). Consultations were obtained for revision (49%), or first-time (30%) eyelid/eyebrow surgery, cosmetic ptosis surgery (6%), laser skin procedures (5%), cosmetic orbital decompression (5%), and lower eyelid fat prolapse (5%). Twenty patients (25%) followed-up with in-person consultation. Sixteen of these patients (80%) had surgical (56%) or nonsurgical (44%) interventions. CONCLUSIONS: Skype consults are an efficient, in-office modality to increase patient flow through the office, expand patient base, and generate income. In this report, 25% of Skype contacts followed-up with formal in-person consultations, of which 80% had surgical or nonsurgical interventions.


Subject(s)
Blepharoplasty/statistics & numerical data , Blepharoptosis/surgery , Eyelids/surgery , Referral and Consultation/statistics & numerical data , Telecommunications/statistics & numerical data , Adolescent , Adult , Aged , Blepharoptosis/diagnosis , Esthetics , Female , Humans , Male , Middle Aged , Office Visits/statistics & numerical data , Retrospective Studies , Young Adult
17.
J Intellect Disabil Res ; 62(10): 821-832, 2018 10.
Article in English | MEDLINE | ID: mdl-30105880

ABSTRACT

BACKGROUND: Little is known about how individuals with fragile X syndrome (FXS) and their families use technology in daily life and what skills individuals with FXS can perform when using mobile technologies. METHODS: Using a mixed-methods design, including an online survey of parents (n = 198) and a skills assessment of individuals with FXS (n = 6), we examined the experiences and abilities of individuals with FXS for engaging with mobile technology. RESULTS: Parents reported that individuals with FXS often used technology in their daily lives, with variations based on age of child, sex, autism status, depression, and overall ability. Parents frequently sought and shared FXS-related information online. Assessment data revealed that individuals with FXS demonstrated proficiency in interacting with technology. CONCLUSIONS: Mobile technology is a tool that can be used in FXS to build skills and increase independence rather than simply for recreational purposes. Implications for using mobile technology to enhance healthcare decision making are discussed.


Subject(s)
Computer Systems , Fragile X Syndrome , Intellectual Disability , Motor Skills , Telecommunications , Telemedicine , Adolescent , Adult , Aged , Aged, 80 and over , Child , Clinical Decision-Making , Computer Systems/statistics & numerical data , Female , Fragile X Syndrome/rehabilitation , Humans , Intellectual Disability/rehabilitation , Internet/statistics & numerical data , Male , Middle Aged , Parents , Surveys and Questionnaires , Telecommunications/statistics & numerical data , Telemedicine/statistics & numerical data , Young Adult
18.
Cancer Epidemiol Biomarkers Prev ; 27(8): 864-873, 2018 08.
Article in English | MEDLINE | ID: mdl-29954736

ABSTRACT

Background: Because Operating Engineers (heavy equipment operators) are outdoor workers at risk for skin cancer, interventions are needed to promote sun safety. The objectives were to determine changes in sunscreen use and sunburning among Operating Engineers randomized to four conditions in the Sun Solutions study: (i) education only; (ii) education and text message reminders; (ii) education and mailed sunscreen; and (iv) education, text message reminders, and mailed sunscreen.Methods: In this randomized controlled trial, Operating Engineers (N = 357) were recruited at required safety training sessions throughout Michigan during winter/spring of 2012 to 2013 and provided baseline surveys. The four interventions were delivered over the summer. Postintervention surveys were collected in the fall (82.1% follow-up).Results: Sunscreen use improved significantly from baseline to follow-up in all four conditions (P < 0.05), except sunscreen use among those receiving education and text message reminders was only marginally significant (P = 0.07). There were significantly greater increases in sunscreen use in the two conditions that were mailed sunscreen (P < 0.001). There was a significant decrease in the number of reported sunburns from baseline to follow-up in all four conditions (P < 0.001), but there were no significant differences in sunburns among the groups. Participant evaluated the interventions highly with those who received mailed sunscreen rating the intervention the highest.Conclusions: Providing proper sun-safety education and minimizing barriers to sunscreen use can increase sunscreen use and decrease reported sunburns.Impact: The implementation of the Sun Solutions intervention may be an effective method to modify skin cancer-related behaviors. Cancer Epidemiol Biomarkers Prev; 27(8); 864-73. ©2018 AACR.


Subject(s)
Health Promotion/methods , Occupational Diseases/prevention & control , Occupational Exposure/adverse effects , Skin Neoplasms/prevention & control , Sunburn/complications , Sunscreening Agents/administration & dosage , Adult , Construction Industry , Early Intervention, Educational , Engineering , Female , Follow-Up Studies , Health Behavior , Health Knowledge, Attitudes, Practice , Humans , Male , Middle Aged , Occupational Diseases/etiology , Prognosis , Risk Factors , Skin Neoplasms/etiology , Telecommunications/statistics & numerical data
19.
Water Sci Technol ; 2017(2): 351-359, 2018 May.
Article in English | MEDLINE | ID: mdl-29851387

ABSTRACT

Rainfall spatio-temporal distribution is of great concern for rainfall-runoff modellers. Standard rainfall observations are, however, often scarce and/or expensive to obtain. Thus, rainfall observations from non-traditional sensors such as commercial microwave links (CMLs) represent a promising alternative. In this paper, rainfall observations from a municipal rain gauge (RG) monitoring network were complemented by CMLs and used as an input to a standard urban drainage model operated by the water utility of the Tabor agglomeration (CZ). Two rainfall datasets were used for runoff predictions: (i) the municipal RG network, i.e. the observation layout used by the water utility, and (ii) CMLs adjusted by the municipal RGs. The performance was evaluated in terms of runoff volumes and hydrograph shapes. The use of CMLs did not lead to distinctively better predictions in terms of runoff volumes; however, CMLs outperformed RGs used alone when reproducing a hydrograph's dynamics (peak discharges, Nash-Sutcliffe coefficient and hydrograph's rising limb timing). This finding is promising for number of urban drainage tasks working with dynamics of the flow. Moreover, CML data can be obtained from a telecommunication operator's data cloud at virtually no cost. That makes their use attractive for cities unable to improve their monitoring infrastructure for economic or organizational reasons.


Subject(s)
Environmental Monitoring/methods , Rain , Water Movements , Cities , Czech Republic , Environmental Monitoring/instrumentation , Microwaves , Telecommunications/statistics & numerical data
20.
Inform Health Soc Care ; 43(1): 1-11, 2018 Jan.
Article in English | MEDLINE | ID: mdl-28005444

ABSTRACT

Along with the digital revolution, information and communication technology applications are currently transforming the delivery of health and social care services. This paper investigates prevailing opinions toward future technology-based healthcare solutions among Austrian healthcare professionals. During a biphasic online Delphi survey, panelists rated expected outcomes of two future scenarios describing pervasive health monitoring applications. Experts perceived that the scenarios were highly innovative, but only moderately desirable, and that their implementation could especially improve patients' knowledge, quality of healthcare, and living standard. Contrarily, monetary aspects, technical prerequisites, and data security were identified as key obstacles. We further compared the impact of professional affiliation. Clearly, opinions toward pervasive healthcare differed between the interest groups, medical professionals, patient advocates, and administrative personnel. These data suggest closer collaborations between stakeholder groups to harmonize differences in expectations regarding pervasive health monitoring.


Subject(s)
Attitude of Health Personnel , Delivery of Health Care/methods , Information Systems/statistics & numerical data , Social Work/methods , Telecommunications/statistics & numerical data , Adult , Computer Security , Confidentiality , Costs and Cost Analysis , Delphi Technique , Female , Health Knowledge, Attitudes, Practice , Humans , Information Systems/economics , Information Systems/standards , Male , Middle Aged , Monitoring, Ambulatory/methods , Quality of Health Care , Remote Sensing Technology/methods , Telecommunications/economics , Telecommunications/standards , Wearable Electronic Devices
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