International Journal of User-Driven Healthcare最新文献

{"title":"Data Mining for Predicting Pre-diabetes: Comparing Two Approaches","authors":"K. Farahmand, Guangjing You, Jing Shi, S. S. Wadhwa","doi":"10.4018/IJUDH.2015070103","DOIUrl":"https://doi.org/10.4018/IJUDH.2015070103","url":null,"abstract":"Many individuals who are at risk for type 2 diabetes do not experience symptoms of diabetes, and therefore are not aware of this condition. Screening for type 2 diabetes can identify individuals at risk for type 2 diabetes, and prevent or delay complications. A total of 13 risk factors, out of 17 variables of NHANES', were selected as predictors. In this study, a comparison of two data mining methodology showed that Decision Tree has a higher ROC index than Logistic Regression modeling. All ROC indexes for two data mining models were greater than 77% indicating both methods present a good prediction for pre-diabetes. The final results of comparison indicated Decision Tree modeling is a better indicator to predict pre-diabetes.","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":"91 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132141368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can Travel and Trade Affect the Global Epidemiology of Rabies?: A Short Review","authors":"K. Gokul Kumar, A. Chatterjee","doi":"10.4018/IJUDH.2014100105","DOIUrl":"https://doi.org/10.4018/IJUDH.2014100105","url":null,"abstract":"Rabies is an acute, progressive, universally fatal encephalitis, caused by a zoonotic Lyssavirus belonging to the family Rhabdoviridae. Although an infectious disease, traditionally, it has not been considered to be spread through international trade and travel owing to the absence of human-to-human transmission. However, cross-border animal migration, animal trade, and travel to areas endemic for rabies pose a chance of emergence of travel-associated rabies as a public health threat. Additionally, the fact that the developed world has eradicated canine variant of the rabies virus impresses the imperative that adequate surveillance is maintained to prevent re-entry and re-establishment of the virus. The current review looks at evidence around outbreaks of travel-associated rabies and examines the various levels at which travel-associated rabies poses a threat and proposes policy recommendations which could be adopted in a local setting to combat the emerging public health challenge.","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125906987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"E-Healthcare Disparities Across Cultures: Infrastructure, Readiness and the Digital Divide","authors":"S. Biswas, Keren Mazuz, R. Mendes","doi":"10.4018/IJUDH.2014100101","DOIUrl":"https://doi.org/10.4018/IJUDH.2014100101","url":null,"abstract":"As e-healthcare becomes a reality for healthcare service provision across the world, challenges in acceptance, implementation, usage and effectiveness have begun to emerge. The infrastructure, readiness and literacy levels required for the effective delivery of e-healthcare services may be prohibitive in providing access to those most in need. As research brings to light the real effectiveness of e-healthcare programmes across the globe, this paper explores how e-healthcare has been implemented worldwide and how populations have been served by an innovation in Information Technology and healthcare that has sought to bring health services to remote areas, improve access to healthcare and narrow the divide between healthcare providers and patients. While notable achievements have seen real time clinical data captured and medical records digitalised, the very determinants responsible for actual health and social disparities are equally responsible for disparities is access to e-healthcare.","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128297504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Importance of Raising Chronic Kidney Disease (CKD) Awareness for Young People and Parents: Young People with Chronic Kidney Disease (CKD)","authors":"S. Muhammad, B. Sen","doi":"10.4018/IJUDH.2014100106","DOIUrl":"https://doi.org/10.4018/IJUDH.2014100106","url":null,"abstract":"Chronic Kidney Disease (CKD) in young people is complex, with many requiring Renal Replacement Therapy (RRT). Young people may be disenfranchised by perceptions of helplessness and feelings of powerlessness against a backdrop of diminished health, consequently impacting on their capacity for effective coping. Not surprisingly, young people and parents/ guardians seek online support through social media which offers advantages over standard forms of engagement/ education. The claim here is that future clinicians are unable to best practice unless they get more involved in patient-led initiatives and better appreciate how young people with CKD and their parents use the internet/ social media as an effective learning resource. Social media can positively influence young people, parents/ guardians to gather resources, supporting them to develop self-care and enhance shared-decision-making, empowering them to adopt coping strategies. Health professionals should have an understanding of what resources are available to young people and parents/ guardians.","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115810830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of Radiology Techniques and Technologies in Forensic Investigations","authors":"R. Vidua","doi":"10.4018/IJUDH.2014100104","DOIUrl":"https://doi.org/10.4018/IJUDH.2014100104","url":null,"abstract":"Forensic radiology is a specialized area of medical imaging which is used for the purpose of evaluation by the forensic experts, physicians, pathologists and anthropologists in cases related with the law. The imaging technologies and techniques can be potential and powerful tools in solving the medico legal cases in the field of Forensic Medicine & Toxicology. Here Forensic experts evaluate the medico legal cases by effectively utilizing their knowledge and experience of recent radiological techniques and technologies. In this article along with the brief history, different modalities of Radiology which have various applications in medico legal investigations with certain advantages and disadvantages, record keeping of data produced, the safety aspects of these technologies, economical aspect of using them along with its current status in a global perspective and its future role and challenges have been discussed.","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114880665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Free Resources for Conducting Learning Sessions for Undergraduate Medical Students About Pharmaceutical Promotion","authors":"P. Shankar","doi":"10.4018/IJUDH.2014100103","DOIUrl":"https://doi.org/10.4018/IJUDH.2014100103","url":null,"abstract":"Pharmaceutical promotion has been shown in various studies to be an important influence on the prescribing behavior of doctors. Undergraduate students should be aware of promotion, be introduced to various tactics adopted by the industry and be able to respond to promotion. A survey conducted in 2004 showed most medical schools devoted only one to two hours of curriculum time to this topic. A number of free internet resources are available for faculty members interested in conducting sessions on this topic for students. This article discusses selected resources including the Ethical criteria for medicinal drug promotion, Understanding and responding to pharmaceutical promotion a practical guide, Healthy Skepticism website, Pharmedout website, No free lunch website, the website of the Citizen's Commission for Human Rights, the book Drug promotion: What we know, what we have yet to learn and resources dealing with disease mongering.","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122892438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Electronic Patient Records (EPR), Library Services (LS) and Multidisciplinary Team (MDT) Meetings: Is it Not Time to Integrate Primary Care for the Better?","authors":"S. Muhammad, M. Rigler, Meshia Adams","doi":"10.4018/IJUDH.2014100102","DOIUrl":"https://doi.org/10.4018/IJUDH.2014100102","url":null,"abstract":"Patients with Long-Term Conditions (LTCs) account for around 50% of General Practitioner (GP) appointments, 64% of outpatient appointments and 70% of hospital bed days. There needs to be a wider access to knowledge and understanding such as directories with information leaflets, documents, books on lifestyle, helpful contacts and sources to information that can support patients and the general public on the most important elements their health. This cannot be achieved just through patients accessing their health records in sole. The objective of this paper is to 1) highlight the importance of integrating General Practice (GP), Electronic Patient Records (EPR) with Library Services (LS) and 2) also explore why it would be advantageous to implement patient-centred Multidisciplinary Team (MDT) meetings in primary care for patients with Long-Term Conditions (LTCs). This article provides a UK glance and how primary care services can be improved, integrating for the better. Having access to Electronic Patient Records (EPR) alone will not help or encourage a patient to gain confidence and/ or understanding especially if patients are overwhelmed by their healthcare choices and Health Literacy (HL) complexities. Patients' whose first language is not English for example, approaching more methods to support HL is/ will be challenging. Library and Health Services partnerships should be initiated to allowing access to wider resources. In addition, patient-centred Multidisciplinary Team (MDT) meetings should be arranged at dedicated time points between a doctor and patient/ carer and these can take place in a private section within library setting involving wider participation in care plans. Given that more patients and the public will have opportunity to access their health records, a “Libraries and Health†partnership can help integrate primary healthcare better thus allowing all to access health-related literature, using books, leaflets and digital media in a comfortable environment in a setting that also has staff that can support with HL and technology. An EPR and MDT initiative should be supported with library and health partnerships; this needs to be encouraged.","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114866203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case Study: Resolving Diagnostic Uncertainties in the Clinical Presentation of Ocular Tuberculosis","authors":"S. Gupta, D. Verma, D. P. Singh","doi":"10.4018/IJUDH.2014070106","DOIUrl":"https://doi.org/10.4018/IJUDH.2014070106","url":null,"abstract":"In the developing countries, incidence of systemic tuberculosis is very high, with over 8 million new cases each year. The incidence of tuberculous uveitis is also rising correspondingly. It is difficult to diagnose ocular tuberculosis because of the lack of specific ocular findings and specific confirmatory laboratory tests. However, in a developing country like India, where the prevalence of latent tuberculosis is high, uveitis of unexplained cause not fitting into known uveitis entities, in presence of Monteux positivity, is more likely to be tubercular in origin. Hence, early diagnosis and prompt treatment with antitubercular treatment may result in dramatic drop in recurrence and improve individual patient outcomes.","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128824157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ranitidine-Induced Hepatitis in a Young Man with Myalgia and Insomnia: Narratives in Conversational Learning Experience","authors":"Shrutika Singh, R. Biswas","doi":"10.4018/IJUDH.2014070103","DOIUrl":"https://doi.org/10.4018/IJUDH.2014070103","url":null,"abstract":"This is a conversational narrative of the learning experience of a group of medical students around an interesting case that was brought to them through the network of the user driven healthcare (UDHC) system. In addition to the traditional didactic framework of lecture-based clinical medicine, the students were exposed to patient-centered learning exercises where a patient of clinically complex issues was present as a part of the didactic experience in the classroom. As an innovative approach, which has not been trialed in the Indian medical education system, the teaching experience required following up with student narratives that reflected on the learning experience gleaned from the multidimensional clinical-didactic encounter. This paper outlines a case of ranitidine-associated hepatitis, a little known side effect of a vastly prescribed drug, and the associated discussion generated on online forums, mainly driven by the students who were involved in the clinical history of the case. There are reflective accounts of the student and preceptor involved in the teaching-learning exercise discussing the clinical encounter.","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133363533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical Students Meet User Driven Health Care for Patient Centered Learning in Clinical Medicine","authors":"N. Arora, N. Tamrakar, A. Price, R. Biswas","doi":"10.4018/IJUDH.2014070102","DOIUrl":"https://doi.org/10.4018/IJUDH.2014070102","url":null,"abstract":"Patient-centered learning and participatory research are emerging movements in the transformation of primary healthcare and research participation. In recent years this focus has extended to the utilization of User Driven Health Care (UDHC) networks for patient centered learning in medical education. Technology now makes it possible for patients, medical students, and providers to communicate through the Interneton a secure platform. Student authors experiencing this new brush with technology-supported, patient centered learning experience share how participation in a User Driven Health Care online education experience informed their learning and incited them to develop an interest in evidence based knowledge. They developed a survey tool and conducted interviews over the Internet to report on the experiences of others within the network. The findings were largely positive although some students did not feel the reality of the connection to an actual patient. Others report enjoying the experience and being enriched through the interaction, but, at the same time, expressed doubts whether this was a sustainable way to learn given the volume of information a student has to master to attain to the level of a practicing physician","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126858361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}