ISO/TS 21564:2019- based Evaluation of a Semantic Map between Variables in the ISARIC Freestanding Follow Up Survey and ORCHESTRA Studies
AbstractThe COVID-19 pandemic has led to tremendous investment in clinical studies to generate much-needed knowledge on the prevention, diagnosis, treatment and long-term effects of the disease. Case report forms, comprised of questions and answers (variables), are commonly used to collect data in clinical trials. Maximizing the value of study data depends on data quality and on the ability to easily pool and share data from several sources. ISARIC, in collaboration with the WHO, has created a case report form that is available for use by the scientific community to collect COVID-19 trial data. One of such research initiat...
Source: Journal of Medical Systems - November 14, 2023 Category: Information Technology Source Type: research

Does Legislation Impede Data Sharing in Australia Across Institutions and Jurisdictions? A Scoping Review
The objective of this review was to analyse published literature from Australia to see what regulations were used to justify not sharing data, along with any other factors that might discourage data sharing. We searched PubMed, Scopus and Web of Science for empirical and policy articles discussing data sharing in Australia. We then filtered these results via abstract and conducted a full text assessment to include 33 articles for analysis. Although there are a few areas of notable regulatory divergence with respect to legislation governing health data, most regulations in Australia are relatively consistent. Further, the a...
Source: Journal of Medical Systems - November 14, 2023 Category: Information Technology Source Type: research

Case Volume Justification of 3D-Navigated Spinal Procedures: A Cost-Benefit Analysis
This study aims to develop a model that weighs the cost of a typical 3D navigation platform against its clinical benefits to determine the facility case volume required to justify its purchase. Using Medtronic ’s StealthStation and O-Arm as a market example, we calculated the break-even case volume by dividing the cost of the platform by the difference in gross margins between 3D navigation and the standard of care. Total gross margins earned from first-time and revision surgeries were calculated based on each payer’s reimbursement rate and covered case volume, as well as each technology’s revision rate. Values repor...
Source: Journal of Medical Systems - November 8, 2023 Category: Information Technology Source Type: research

Alert-Grouping: Smart Personalization of Monitoring System Thresholds to Help Healthcare Teams Struggle with Alarm Fatigue in Intensive Care
AbstractIn Intensive Care Units (ICUs), patients are monitored using various devices that generate alerts when specific metrics, such as heart rate and oxygen saturation, exceed predetermined thresholds. However, these alerts can be inaccurate and lead to alert fatigue, resulting in errors and inaccurate diagnoses. We propose Alert grouping, a “Smart Personalization of Monitoring System Thresholds to Help Healthcare Teams Struggle Alarm Fatigue in Intensive Care” model. The alert grouping looks at patients at the individual and cluster levels, and healthcare-related constraints to assist medical and nursing teams in se...
Source: Journal of Medical Systems - November 7, 2023 Category: Information Technology Source Type: research

Medical Image Encryption using Biometric Image Texture Fusion
AbstractIn conjunction with pandemics, medical image data are growing exponentially. In some countries, hospitals collect biometric data from patients, such as fingerprints, iris, or faces. This data can be used for things like identity verification and security management. However, this medical data can be easily compromised by hackers. In order to prevent illegal tampering with medical images and invasion of privacy, a new texture fusion medical image encryption (TFMIE) algorithm derived from biometric images is proposed, which can encrypt the image using biometric information for storage or transmission. First, the medi...
Source: Journal of Medical Systems - November 4, 2023 Category: Information Technology Source Type: research

The Role of Wearable Sensors in the Future Primary Healthcare – Preferences of the Adult Swiss Population: A Mixed Methods Approach
AbstractWearable sensors have the potential to increase continuity of care and reduce healthcare expenditure. The user concerns and preferences regarding wearable sensors are the least addressed topic in related literature. Therefore, this study aimed first, to examine the preferences of the adult Swiss population regarding the use of wearable sensors in primary healthcare. Second, the study aimed to explain and learn more about these preferences and why such wearable sensors would or would not be used. An explanatory sequential design was used to reach the two aims. In the initial quantitative phase preferences of a natio...
Source: Journal of Medical Systems - November 1, 2023 Category: Information Technology Source Type: research

VirtMRI: A Tool for Teaching MRI
AbstractMagnetic resonance image formation is not trivial and remains a difficult subject for teaching. Therefore, we saw an urgent need to facilitate teaching by developing a practical and easily accessible MR image generator. Due to the increasing interest in X-nuclei MRI, sodium image generation is also offered. The tool is implemented as a web application that is compatible with all standard desktop browsers and is open source. The user interface focuses on the parameters needed for the creation and display of the resulting images. Available MR sequences range from the standard Spin Echo and Inversion Recovery over ste...
Source: Journal of Medical Systems - October 25, 2023 Category: Information Technology Source Type: research

Gamification to Improve Medication Adherence: A Mixed-method Usability Study for MedScrab
AbstractMedication non-adherence is a prevalent healthcare problem with poor health outcomes and added healthcare costs. MedScrab, a gamification-based mHealth app, is the first attempt to deliver crucial life-saving medication information to patients and increase their medication adherence. The paper presents the development of MedScrab and a two-phase mixed-method usability evaluation of MedScrab. Phase I qualitatively evaluated MedScrab using a think-aloud protocol for its usability. With 51 participants, qualitative data analysis of Phase I revealed two themes: positive functionality of the app and four areas of improv...
Source: Journal of Medical Systems - October 20, 2023 Category: Information Technology Source Type: research

Excessive Smartphone Use is Associated with Depression, Anxiety, Stress, and Sleep Quality of Australian Adults
AbstractProblematic smartphone use has been associated with poorer mental health in different population groups; however, little is known about how levels of smartphone use were associated with mental health outcomes of adults in Australia. Using data from a cross-sectional survey among Australian adults aged 18 –59 years (n = 655, Mean = 24.55 [SD = 5.59] years; 66% female), the current study aimed to examine association between problematic smartphone use and different psychological outcomes. Participants completed measures of problematic smartphone use with Mobile Phone Problem Use Scale (MP PUS), mental he...
Source: Journal of Medical Systems - October 20, 2023 Category: Information Technology Source Type: research

Gamification to Improve Medication Adherence: A Mixed-method Usability Study for MedScrab
AbstractMedication non-adherence is a prevalent healthcare problem with poor health outcomes and added healthcare costs. MedScrab, a gamification-based mHealth app, is the first attempt to deliver crucial life-saving medication information to patients and increase their medication adherence. The paper presents the development of MedScrab and a two-phase mixed-method usability evaluation of MedScrab. Phase I qualitatively evaluated MedScrab using a think-aloud protocol for its usability. With 51 participants, qualitative data analysis of Phase I revealed two themes: positive functionality of the app and four areas of improv...
Source: Journal of Medical Systems - October 20, 2023 Category: Information Technology Source Type: research