Advances in Human Aspects of Healthcare最新文献

{"title":"A 5-Category Classification System for the Design and Planning of Healthcare Facilities","authors":"Elly M. Waaijer a, Hanneke J.J. Knibbe b","doi":"10.54941/ahfe100505","DOIUrl":"https://doi.org/10.54941/ahfe100505","url":null,"abstract":"In order to implement programs to prevent back pain in caregivers, assessment of the degree of passivity and mobility of patients is imperative. After all, the load in health care ergonomics is often the patient. The degree of cooperation or resistance determines the load on the back for the caregivers and the necessity of the use of lifting devices like patient lifters or sliding sheets. It also has its impact on the choice of equipment to carry out daily hygienic care. These assessments must be done in both a practical and a reliable way. One of the major problems encountered in health care during the process of implementing ergonomic changes is the lack of space. There is often not enough space to work with larger equipment like patient lifters and shower chairs or other medical devices necessary in a preventive program. This leads to undesirable extra physical load for caregivers. The Mobility Gallery, a validated 5-category classification system, is now used to define in a structured manner the existing and future population of a healthcare facility and supports the planning and space design. Based on the assessment of mobility levels, the equipment needed can be defined. All transfers and care activities are shown in a bird’s eye view image and are translated into functional areas. This tools will encourage architects to build in the future in such a way that one of the corner stones of a safe patient handling program, sufficient space, is guaranteed.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132130324","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 Factors of Brain Tumor Delineation in Radiotherapy for Software Design","authors":"A. Aselmaa, Richard H.M. Goossens, B. Rowland, A. Laprie, Yu Song, A. Freudenthal","doi":"10.54941/ahfe100531","DOIUrl":"https://doi.org/10.54941/ahfe100531","url":null,"abstract":"In radiotherapy, the delineations of the volume of the macroscopic spread of the tumor as the Gross Tumor Volume (GTV), and the surrounding volume of the microscopic spread of the disease as the Clinical Target Volume (CTV), are key tasks for a high quality treatment plan. In order to design a software that also supports cognition, software designers need a deeper understanding of the physicians’ cognitive processes and medical context. This paper presents a research about identifying main medical factors relevant for the delineation in the radiotherapy context as a first step in deepening the understanding for software design. Using two discussion formats with six radiation oncologists, we identified 29 medical factors regarding the delineations of tumorous volumes, categorized into: treatment context, tumor context and tumorous areas. In addition, the role of multimodal images, dose planning, and future wishes have been elaborated. These findings could support the software designers in using Evidence Based Software Engineering approach. It is expected that software designed based on the results presented here, is tailored towards the medical context and cognitive needs of radiation oncologists in the delineations of brain tumor, and therefore will improve the effectiveness and efficiency of their work.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127497038","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":"A Study of Medical Garment Design for Puerpera Based on Ergonomic Theory","authors":"Zhaojing Lan, Xiaoping Hu","doi":"10.54941/ahfe100486","DOIUrl":"https://doi.org/10.54941/ahfe100486","url":null,"abstract":"Clean and comfortable medical garment for puerpera could make them feel relax and cheerful. This study aims to identify puerpera’s needs and their concerns, in order to design the puerperal medical garment in the light of ergonomic theory. A questionnaire was prepared and given to these people, which have investigated 125 puerperas aging from 20 to 40 who are in treatment in central city hospital, as the data shows that most of the participants need functional garment, which should be in compliance with design rationales according to analysis data and in conformity with ergonomic theory. It was established that the functional medical garment for puerpera in conformity with ergonomic theory could not only promote puerpera’s entire recovery, prevent cross infection by pathogenic bacteria, but also benefit the breastfeeding and contact between mother and baby in the early stage, and make puerpera more cheerful.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122108127","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":"Maladaptive Back Beliefs and Low Back Pain in Nurses: A Longitudinal Study","authors":"Achim Elferinga, Cornelia Rollia, Urs Müllerb, Özgür Tamcanb, Anne F. Mannionc","doi":"10.54941/ahfe100514","DOIUrl":"https://doi.org/10.54941/ahfe100514","url":null,"abstract":"This population-based longitudinal questionnaire study examined whether back beliefs predicted increased low back pain (LBP) one year after baseline, comparing the phenomenon in nurses versus other participants. A random sample of 2’860 individuals participated. At one-year follow-up 1’445 questionnaires were returned. At baseline and follow-up, back beliefs were assessed with the Back Beliefs Questionnaire (BBQ) and LBP was assessed using a standardized pain intensity item and pain manikin. Cross-lagged structural equation modeling was used to estimate the prospective risk path from BBQ at baseline to LBP at follow-up. A model comparison test evaluated whether paths differed between 59 nurses and 1’383 other respondents. The cross-lagged path model fitted the empirical data well (CFI = 0.91; RMSEA = 0.04). In nurses, the longitudinal path from BBQ to LBP at follow-up (β=0.30, p=.013) and the cross-sectional association between BBQ and LBP at follow-up (β = 0.42, p = .031) were more positive than in others (longitudinal path: β = 0.05, p = .023; cross-sectional path: β = 0.06, p = .062). The biopsychosocial model of LBP and maladaptive back beliefs should be addressed in educational occupational health interventions for nurses.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116886259","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 Current State of Obesity in Healthcare: A Perfect Storm","authors":"Tamara M. James","doi":"10.54941/ahfe100533","DOIUrl":"https://doi.org/10.54941/ahfe100533","url":null,"abstract":"Obesity is a growing public health problem in the United States. Obese individuals are at greater risk for early death as well as chronic diseases such as cancer, diabetes, cardiovascular disease, and musculoskeletal disorders. The economic costs related to obesity are substantial and are impacting society as a whole. More specifically they are having an impact on healthcare workers since obese individuals use healthcare services at a greater rate than normal weight individuals. The risk of injury to healthcare workers is also growing as this patient population increases. To date, much of the focus on injury risk to healthcare workers from obese patients has been in the area of patient handling at the bedside. However, there are other disciplines with increasing injury risks due to the growing needs of obese patients in surgery, OB/GYN, ultrasound, radiology, and even morgue/autopsy. It is difficult to control patient weights but more emphasis could be placed on maintaining healthy weights of healthcare workers. Previous research has demonstrated a relationship between workers BMI and injury rates. Thus the risks of working with obese patients coupled with growing obesity among healthcare workers is creating a “perfect storm” that can negatively impact the delivery of quality healthcare.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122905147","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":"Arm and Neck Pain in Ultrasonographists","authors":"Frank Claesᵃ, Jan Bergerᵇ, Gaetane Stassijnsᵃ","doi":"10.54941/ahfe100518","DOIUrl":"https://doi.org/10.54941/ahfe100518","url":null,"abstract":"The aim of this study was to evaluate the prevalence of upper body quadrant pain among ultrasonographists and to evaluate the association between individual ergonomics, musculoskeletal disorders, and occurrence of neck pain. A hundred and ten Belgian and Dutch male and female hospital ultrasonographists were consecutively enrolled in the study. Data on work-related ergonomic and musculoskeletal disorders were collected with an electronic inquiry, including questions about ergonomics, symptoms and work related factors. Subjects with the screen on their left had significantly more neck pain. Depending on the work space, high-low tables increased the chance on developing neck pain. A screen on eye level caused less neck. Employees with a fixed working space were less susceptible to arm pain. The prevalence of arm pain was significantly higher on the vascular department compared to the radiology, urology and gynecology departments. In the prevention of upper limb pain in ultrasonographists, attention should be paid to the work environment in general, and to the more specific aspects of the ultrasound workstation layout. Primary ergonomic prevention could help the ultrasonographist to work painless during his medical tasks.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127510467","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":"Tailoring Motivational Mechanisms to Engage Teenagers in Healthy","authors":"Life-Style: A Concept","doi":"10.54941/ahfe100499","DOIUrl":"https://doi.org/10.54941/ahfe100499","url":null,"abstract":"Overweight and obesity are the first leading risk related to nutrition for global deaths, in the last few years it outranked the famine. Obesity increases the risk of several debilitating, and deadly diseases, including diabetes, heart disease, and some cancers. Due to the many health risks associated with obesity, the financial burden that the treatment of this disease exercises on the European healthcare system is enormous. For this reason, the best strategy relies in prevention. In particular, the pervasiveness of technology can leverage an important advantage for the promotion of healthy behaviors in the new generations. This paper introduces PEGASO, a technological multidisciplinary project funded by the European Commission that aims at creating an ecosystem that can enable teenagers to adopt healthy habits leading to a healthy life-style. The ICT system plays an important role in the PEGASO ecosystem. This behavior change support system integrates a Virtual Individual Model that allows characterizing the physiological status, physical condition and the psychological status for each user. This allows the elaboration of tailored interventions aiming at promoting the adoption of healthy habits by the users. This paper describes this concept introducing the Virtual Individual Model and discusses the possible interventions related to the promotion of physical exercise and of healthy dietary habits. At the end of the paper, some indications about the future development of the PEGASO project are provided.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133194555","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":"Pressure Ulcer Prevention: Keep it Safe, Keep it Simple!","authors":"L. Phillips","doi":"10.54941/ahfe100475","DOIUrl":"https://doi.org/10.54941/ahfe100475","url":null,"abstract":"Pressure Ulcer (PU) Prevention Guidelines typically recommend that vulnerable patients be physically repositioned every 2-4 hours, although the risk of caregiver injury is rarely discussed. Some guidelines, concerned with the fabric and construction of slings, continue to mandate the removal of lift equipment from beneath the patient after use and, despite a weak evidence base, this might lessen repositioning frequency and discourage safe practice. A pragmatic solution may be a flexible, breathable, quick-drying, low-friction lift sheet, designed to work in synergy with a pressure-redistributing mattress and which replaces the standard sheet. A series of standardised laboratory tests compared key performance characteristics of two sheet textiles: a 100% cotton hospital bed sheet and the Maxi Transfer™ sheet, a novel synthetic lift sheet. Results showed that when compared to the cotton sheet, the synthetic sheet was more breathable, had lower heat retention properties, superior wicking and better synergy with the therapeutic mattress. Regular repositioning, the cornerstone of PU prevention, is most likely to occur when clinicians have immediate access to lifting equipment. Replacing the standard bed sheet with an advanced textile, lifting device, may positively impact concordance with repositioning protocols, improve tissue microclimate and so improve patient outcomes and, importantly, caregiver safety.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130812764","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":"Development of Medical Device UI-Profiles for Reliable and Safe Human-Machine-Interaction in the Integrated Operating Room of the Future","authors":"A. Janß, J. Benzko, Paul Merz, Jasmin Dell’Anna, M. Strake, K. Radermacher","doi":"10.54941/ahfe100507","DOIUrl":"https://doi.org/10.54941/ahfe100507","url":null,"abstract":"Nowadays, the number of technical systems in the operating room increases constantly. This ongoing spread of technology has significant impacts on the individual working process steps of the surgical team. Besides improving the therapeutic quality, these changes may also lead to new human-induced risks for patients, therapists and third parties. In particular, within intra-operative activities, which depend on a safe and fast operation, surgeons and nurses rely on sophisticated and efficient solutions in terms of Human-Machine-Interfaces in order to perform their tasks reliably and assuredly. Therefore, proprietary integrated workstations with a central usage cockpit have been provided for the operating theatre in recent years. At the Chair of Medical Engineering, a surgical integrated workstation with open interfaces for the integration of various medical devices from different manufacturers is currently been developed in the context of the BMBF (Federal Ministry of Education and Research) funded project OR.NET. For this purpose a suitable central user interface (e.g. multi-function foot switch, touch screen, diagnostic monitor, etc.) will be implemented, in a way that the functions of the various (networked) devices can be offered to the user by a central user interface. The design of the Human-Machine-Interface therefore depends on the available input and output devices, the interaction elements of the graphical user interface, the available medical technical equipment, as well as the medical intervention and the particular process steps and the environmental conditions within the operating room. In this work, a concept for the development of a Medical Device User Interface Profile (UIP) will be presented, using the characterization of process-dependent medical device functions for the modular design of a central user interface in the integrated operating room of the future. The use of standardized UI Profiles should allow the manufacturers to integrate their medical devices, respectively the provided functions in the OR.NET network, without disclosing the risk analysis and related confidential know-how or proprietary information. The UI Profiles will allow both, an automated optimized selection and composition of various user interfaces, and implicitly an optimal design of a central GUI with respect to the criteria of usability and an integrated human risk analysis in terms of Human-Machine Interaction. Specific operation process steps within a neurosurgical workflow will be the framework for the validation process of the UI Profiles. Till now, the UIP concept has been tested within the integration of an ultrasound dissector and an OR microscope.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115782809","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":"Healthcare System Focusing on Emotional Aspect Using Augmented Reality: Emotion Detection by Facial Expression","authors":"Somchanok Tivatansakula, Gantaphon Chalumpornb, Supadchaya Puangpontipb","doi":"10.54941/ahfe100521","DOIUrl":"https://doi.org/10.54941/ahfe100521","url":null,"abstract":"Current research includes many proposals of systems that provide assistances and services to people in the healthcare fields; however, these systems emphasize the support physical rather than emotional aspects. Emotional health is as important as physical health. Negative emotional health can lead to social or mental health problems. To cope with negative emotional health in daily life, we propose a healthcare system that focuses on emotional aspects. This system provides services to improve user emotion. To improve user emotion, we need to recognize users’ current emotional state. Therefore, our system integrates emotion detection to suggest the appropriate service. This system is designed as a web-based system. While users use the system, facial expression and speech are detected and analyzed and to determine the users’ emotions. When negative emotions are detected, our system suggests that the users take a break by providing services (designed to provide relaxation, amusement and excitement services) with augmented reality and Kinect to improve their emotional state. This paper focuses on feature extraction and classification of emotion detection by facial expression recognition.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134442767","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}