BMJ Innovations最新文献

{"title":"Treatment of medial tibial stress syndrome using an investigational lower leg brace. A pilot for a randomised controlled trial.","authors":"W. McNamara, T. Longworth, Joo Y. Sunwoo, Syed MT Rizvi, Christopha J Knee, Brandi Cole","doi":"10.1136/bmjinnov-2022-001054","DOIUrl":"https://doi.org/10.1136/bmjinnov-2022-001054","url":null,"abstract":"Objective Medial tibial stress syndrome (MTSS) is common and often difficult to treat. The purpose of this study was to examine the effect of a lower leg brace on MTSS symptoms compared to a placebo. Methods A pilot of a prospective double-blinded randomised placebo-controlled trial conducted in two private sports medicine practices. Included were those with symptomatic MTSS lasting 6 weeks or more. Excluded were those with other lower limb pathologies. Fourteen participants formed the study cohort who wore the brace or placebo. The brace applied counterforce pressure to the musculotendinous junctions of the soleus, compressed periosteum at the distal third of the posteromedial tibia and applied inferomedial torsion to the soleus muscle. Additional treatment modalities were recorded. Participants completed a standardised MTSS Severity Score at 0–6, 8, 12 and 24 weeks and recorded return to full activity. Results The brace group demonstrated a significantly reduced MTSS severity score from 5 to 24 weeks (p<0.03) and had returned to full activity within 5 weeks. MTSS score in the placebo group remained unchanged (p >0.05), all participants experienced MTSS recurrence and none returned to full activity over 24 weeks. Conclusion The lower leg brace demonstrated a reduction in MTSS symptoms from 5 weeks that was sustained over 6 months with a lower rate of MTSS recurrence compared with the placebo. If similar results are seen in a larger cohort, it has potential to benefit patients with MTSS as an adjunct to current treatment modalities. Further investigation regarding efficacy is needed. Trial registration number ACTRN12620000906954.","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"1 1","pages":"257 - 263"},"PeriodicalIF":2.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75534954","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":"Emerging technologies and global health: a systematic review generating bibliometric evidence for innovation management","authors":"Sheng Wu, Bernardo Mariano Junior","doi":"10.1136/bmjinnov-2022-001064","DOIUrl":"https://doi.org/10.1136/bmjinnov-2022-001064","url":null,"abstract":"Objective To obtain quantitative evidence for innovation management on Emerging Technologies and Global Health from existing scientific research with a bibliometric approach. Design This study generates quantitative evidence for healthcare innovation policy making, offering new insights: first, innovation quality can be measured through dynamic interactions among key innovation elements; second, as emerging technologies are impacting global health in an interdisciplinary and fast-changing manner, new theories and tools that suit the planetary innovation ecosystem need to be established. The evidence contains two aspects, the intellectual base and the research front. The software used is Citespace V.6.1.R3 and Python. Data source This study scanned the Web of Science Core Collection with an extensive range of research themed around emerging technologies and global health, resulting in a dataset of 9738 items of science literature between 2017 and 2021. Eligibility criteria for selecting studies This dataset contains literature across sciences and social sciences in the form of journal research articles, excluding systematic reviews and surveys. The search includes literature in all languages. Results This study presents the landscape of emerging technology and global health, depicts the quality of innovation, and reveals the innovation trends. It demonstrates the major players and major sources of innovation, captures innovation foci and detects research blanks. Conclusion This bibliometric analysis, which is conducted on scientific research, outlines the quality and impact of innovation in Emerging Technologies and Global Health. It shows the importance of Research and Development for generating quantitative evidence for innovation management policy making.","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"17 1","pages":"165 - 176"},"PeriodicalIF":2.0,"publicationDate":"2023-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75015459","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":"Correction: User-centred innovation to advance safe surgery at the point of need: report on development of the SurgiField system","authors":"","doi":"10.1136/bmjinnov-2021-000893.corr1","DOIUrl":"https://doi.org/10.1136/bmjinnov-2021-000893.corr1","url":null,"abstract":"","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"162 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74311731","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":"Community engagement self-monitoring (CE-SM) strategy for social innovations in health: pilot implementation in the Philippines","authors":"Pauline Marie Padilla Tiangco, J. Mier-Alpaño, J. R. B. Cruz, J. Alacapa, Joey J. Escauso, U. Amazigo, B. Halpaap, M. Labarda, N. Juban","doi":"10.1136/bmjinnov-2022-001049","DOIUrl":"https://doi.org/10.1136/bmjinnov-2022-001049","url":null,"abstract":"The Social Innovation in Health Initiative (SIHI) piloted a community engagement self-monitoring (CE-SM) strategy, where communities were actively engaged in monitoring the implementation and performance of their social innovations to ensure that their objectives were achieved. This strategy aims to empower communities to document processes, understand the factors involved and measure outcomes by developing a community-grounded self-monitoring tool and implementing their own approach. Two community comanaged social innovations were selected. For one innovation, the communities implemented the CE-SM independent of external intervention. For the second, the communities were provided with minimal assistance by SIHI. These communities identified their monitoring indicators and selected local monitors to collect data to assess performance outcomes and document the entire process. Communities chose indicators based on their perceived importance and practicality, while monitors were chosen based on their familiarity with the community. Community leaders’ proactive leadership and community members’ participation contributed significantly to its success. The important role of regular feedback sessions was also emphasised, not only as a means of monitoring progress but also for boosting their morale. The level of external support needed by a community was determined by the scope of the project and the community’s grasp of the strategy. CE-SM has been demonstrated to be a viable strategy when communities realise their capacity to monitor their own projects using an approach they deem fit. It has also enhanced their sense of ownership which could improve the chances of sustaining these initiatives and contribute to more accessible healthcare and services.","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"55 1","pages":"185 - 191"},"PeriodicalIF":2.0,"publicationDate":"2023-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88499567","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":"Non-communicable diseases in a time of infection","authors":"Helen Surana","doi":"10.1136/bmjinnov-2022-000996","DOIUrl":"https://doi.org/10.1136/bmjinnov-2022-000996","url":null,"abstract":"","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"105 1","pages":"1 - 2"},"PeriodicalIF":2.0,"publicationDate":"2022-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78618290","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":"Patient-specific tracheal stoma plug improves quality of life for tracheostomy patients","authors":"K. VanKoevering, Julia Brennen, Rachel Fenberg, Samuel D. Dolphin, Natalia von Windheim, L. Matrka, B. D. De Silva, M. Spector, S. Chinn, P. Choi, Songzhu Zhao, K. Casper, G. Green","doi":"10.1136/bmjinnov-2022-001028","DOIUrl":"https://doi.org/10.1136/bmjinnov-2022-001028","url":null,"abstract":"Objective Despite being life-saving, tracheostomies carry numerous social, functional and quality of life (QOL) drawbacks. The aim of this study was to design and test the use of small, discrete, customised tracheostomy stoma plugs in patients who are not tracheostomy-dependent during the day, with the overall goals to demonstrate the feasibility of creating these patient-specific devices and obtain preliminary results of impact on QOL. Methods We developed and evaluated a novel patient-specific ‘stoma plug’ to improve the lives of those with tracheostomies who did not have a daytime ventilation requirement. The stoma plug was designed and manufactured using three-dimensional printing for each subject. Measurements of the patient’s fistula were obtained in the clinic and the features of the stoma plug were created to match the fistula and trach tube dimensions. Patients were monitored for any changes in their eligibility status and for complications associated with using the ‘stoma plug’. A survey questionnaire examining multiple QOL domains was performed predevice and at 1 and 6 months of use. Results Devices were designed and produced for 35 patients enrolled across two institutions. The survey results demonstrate statistically significant improvement in quality-of-life scores (p<0.05) in all six domains queried (Overall QOL, voice strength, voice clarity, water tolerance, swallowing and breathing) with substantial improvements in social isolation and skin irritation reported. Conclusion Our study demonstrates that a patient specific device can be created to ameliorate many of the drawbacks associated with a tracheostomy tube, with the potential to revolutionise tracheostomy care.","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"19 1","pages":"177 - 184"},"PeriodicalIF":2.0,"publicationDate":"2022-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89096976","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":"Effectiveness of an anti-fog polymer coating in protective eyewear: a blinded, randomised controlled cross-over trial with healthcare providers in an emergency department setting","authors":"Yonatan G. Keschner, A. Raja, J. Margolin, Hui Zheng, K. Olson","doi":"10.1136/bmjinnov-2022-000962","DOIUrl":"https://doi.org/10.1136/bmjinnov-2022-000962","url":null,"abstract":"Background Eye protection is a mandatory component of the personal protective equipment in healthcare settings, especially for suspected or confirmed cases of COVID-19 and during aerosolising procedures. Fogging of protective eyewear is a frequent problem experienced by providers. The hydrophilic property of a sulfonated polymer, BiaXam, may be able to decrease fogging through wicking moisture from the lens. In this study, we tested the anti-fogging properties of this polymer when applied to protective eyewear. Methods An investigator-initiated prospective, randomised, single-blinded cross-over study was conducted in an emergency department in a large, tertiary care hospital. Participants were blinded and randomised first to either a pair of anti-fog coated or uncoated eyewear, and then to the alternative pair after 2 hours. Study participants completed an identical survey at the end of each 2-hour period. Results 50 emergency medicine healthcare providers were enrolled and 48 completed the study. Results demonstrated a significant difference in fogging between the coated and uncoated eyewear, as 81% of the participants reported fogging of the uncoated lenses and only 55% of the participants reported fogging in the coated pair (p=0.0029). Participants reported that the uncoated lenses fogged two times as frequently on a 10-point Likert scale (4.5±3.3 vs 2.1±2.5; p<0.0001). Subgroup analysis of participants who wore only a surgical mask demonstrated even more efficacious results with coated eyewear. Conclusion Overall, sulfonated polymer-coated eyewear improved provider visualisation, user experience and perceived mitigation of potential medical errors.","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"149 12","pages":"144 - 149"},"PeriodicalIF":2.0,"publicationDate":"2022-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72576042","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":"Novel ‘half-and-half’ design of staining jars for comparative assessment of stains","authors":"S. Sachdev, T. Chettiankandy","doi":"10.1136/bmjinnov-2022-000983","DOIUrl":"https://doi.org/10.1136/bmjinnov-2022-000983","url":null,"abstract":"© Author(s) (or their employer(s)) 2022. No commercial reuse. See rights and permissions. Published by BMJ. INTRODUCTION At present, Coplin jars are used universally for histological staining. They are grooved glass jars which allow microscopic slides to stand separated while staining procedure. They were invented by William Coplin in 1897 and remain in use to date. Except for a few modifications such as use of plastic materials, or screwcapping to avoid evaporation or contamination, the design of Coplin jars has remained mostly unchanged. Many times, situations arise in histopathological laboratories wherein multiple special stains are to be applied on the tissue sections for histochemical confirmation of the nature of cells or material. The scenario is fairly common in researches that compare two or more histological stains. Certain study designs also revolve around comparing the effect of fixation or embedding on staining characteristics. Demonstrating suitability of histological stains in detecting microbes, pigments, or tissue elements such as muscle, cartilage, etc aids in making the diagnostic pathological procedures more accurate and efficient. In such scenarios, the extent of materials such as microscopic slides, cover slips, staining dyes and other chemicals required for the procedures correspond to the number of samples to be stained. The need may not seem significant in routine cases, but the financial toll is amplified exponentially when a large number of samples are involved in studies. Many laboratories, particularly in lowincome and middleincome countries, are not able to afford such exuberant expenditure and are ultimately unable to conduct such largescale comparative studies due to nonfeasibility. They either refrain from conducting the study or select a smaller sample size. A smaller sample size ultimately makes the finals results of their study less valid. The chemicals and materials required for research may also be difficult to procure at times. The problem is fairly common in rural areas of lowincome and middleincome countries, such as India. The problem was even further amplified in COVID19 pandemic, wherein much of the funds were focused on countering the pandemic. There was a decrease Summary box","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"60 1","pages":"192 - 194"},"PeriodicalIF":2.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91237916","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":"SAFER framework for moving forward on the medical device right to repair","authors":"Shuhan He, D. Lai, Grace Jin, Jarone Lee","doi":"10.1136/bmjinnov-2022-000936","DOIUrl":"https://doi.org/10.1136/bmjinnov-2022-000936","url":null,"abstract":"Across various industries, the right to repair (RTR) movement has gained momentum as more than 20 states have proposed RTR laws to expand access to repair of consumer products. Medical device equipment shortages during the COVID-19 pandemic demonstrated that stronger repair mechanisms are necessary for the US health system to become more efficient, affordable and sustainable. We propose a 5-point SAFER framework including safety and security, adaptability, fiscal, environmental and regulatory factors for consideration in implementing medical device RTR. The healthcare community can help advance RTR legislation in a manner that serves our patients and healthcare system best.","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"75 1","pages":"97 - 102"},"PeriodicalIF":2.0,"publicationDate":"2022-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82291560","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":"Implementation of a community-based referral project to improve access to emergency obstetric and newborn care in Rohingya population during COVID-19 pandemic in Bangladesh.","authors":"Mrittika Barua,&nbsp;Avijit Saha,&nbsp;Srizan Chowdhury,&nbsp;Sayantan Chowdhury,&nbsp;Stenly Hely Sajow,&nbsp;Malabika Sarker","doi":"10.1136/bmjinnov-2021-000831","DOIUrl":"https://doi.org/10.1136/bmjinnov-2021-000831","url":null,"abstract":"<p><strong>Introduction: </strong>The delay in seeking emergency obstetric care leads to significant maternal morbidity and mortality and can worsen during pandemics, especially in humanitarian conflict settings with low uptake of obstetric services. To mitigate the challenges related to the second delay caused by lack of transport in the COVID-19 pandemic, the organisation United Nations Population Fund implements a community-based referral project called Referral Hub in the Rohingya refugee population in Bangladesh. The objective of the paper is to describe the implementation process of the Referral hub and present clients' utilisation and perception of the service.</p><p><strong>Methods: </strong>Findings from part of a larger mixed-method study, the analysis of the standard operating protocol of the intervention, secondary data of routine utilisation of the 12 referral hubs between January and August 2020, 21 key informant interviews and a community survey among 100 pregnant women are presented in this paper.</p><p><strong>Results: </strong>The findings show an increasing trend in the referral hub utilisation and a strong recommendation of the service.</p><p><strong>Conclusion: </strong>Due to a robust referral mechanism by collaborating with the community and engaging accessible and free of cost transport service, the intervention has high potential to improve access to facility care in low-resource and humanitarian contexts, especially during pandemics.</p>","PeriodicalId":53454,"journal":{"name":"BMJ Innovations","volume":"8 4","pages":"247-254"},"PeriodicalIF":2.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10156895","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}