JMIR biomedical engineering最新文献

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Using Medical Device Standards for Design and Risk Management of Immersive Virtual Reality for At-Home Therapy and Remote Patient Monitoring. 使用医疗设备标准设计和风险管理沉浸式虚拟现实用于家庭治疗和远程患者监测(预印本)
JMIR biomedical engineering Pub Date : 2021-06-03 DOI: 10.2196/26942
Joseph Peter Salisbury
{"title":"Using Medical Device Standards for Design and Risk Management of Immersive Virtual Reality for At-Home Therapy and Remote Patient Monitoring.","authors":"Joseph Peter Salisbury","doi":"10.2196/26942","DOIUrl":"10.2196/26942","url":null,"abstract":"<p><p>Numerous virtual reality (VR) systems have received regulatory clearance as therapeutic medical devices for in-clinic and at-home use. These systems enable remote patient monitoring of clinician-prescribed rehabilitation exercises, although most of these systems are nonimmersive. With the expanding availability of affordable and easy-to-use head-mounted display (HMD)-based VR, there is growing interest in immersive VR therapies. However, HMD-based VR presents unique risks. Following standards for medical device development, the objective of this paper is to demonstrate a risk management process for a generic immersive VR system for remote patient monitoring of at-home therapy. Regulations, standards, and guidance documents applicable to therapeutic VR design are reviewed to provide necessary background. Generic requirements for an immersive VR system for home use and remote patient monitoring are identified using predicate analysis and specified for both patients and clinicians using user stories. To analyze risk, failure modes and effects analysis, adapted for medical device risk management, is performed on the generic user stories and a set of risk control measures is proposed. Many therapeutic applications of VR would be regulated as a medical device if they were to be commercially marketed. Understanding relevant standards for design and risk management early in the development process can help expedite the availability of innovative VR therapies that are safe and effective.</p>","PeriodicalId":87288,"journal":{"name":"JMIR biomedical engineering","volume":" ","pages":"e26942"},"PeriodicalIF":0.0,"publicationDate":"2021-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11041430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43496887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reducing Treatment Burden Among People With Chronic Conditions Using Machine Learning: Viewpoint (Preprint) 使用机器学习减轻慢性病患者的治疗负担:观点(预印本)
JMIR biomedical engineering Pub Date : 2021-04-09 DOI: 10.2196/preprints.29499
Harpreet Nagra, Aradhana Goel, D. Goldner
{"title":"Reducing Treatment Burden Among People With Chronic Conditions Using Machine Learning: Viewpoint (Preprint)","authors":"Harpreet Nagra, Aradhana Goel, D. Goldner","doi":"10.2196/preprints.29499","DOIUrl":"https://doi.org/10.2196/preprints.29499","url":null,"abstract":"\u0000 UNSTRUCTURED\u0000 The COVID-19 pandemic has illuminated multiple challenges within the health care system and is unique to those living with chronic conditions. Recent advances in digital health technologies (eHealth) present opportunities to improve quality of care, self-management, and decision-making support to reduce treatment burden and the risk of chronic condition management burnout. There are limited available eHealth models that can adequately describe how this can be carried out. In this paper, we define treatment burden and the related risk of affective burnout; assess how an eHealth enhanced Chronic Care Model can help prioritize digital health solutions; and describe an emerging machine learning model as one example aimed to alleviate treatment burden and burnout risk. We propose that eHealth-driven machine learning models can be a disruptive change to optimally support persons living with chronic conditions.\u0000","PeriodicalId":87288,"journal":{"name":"JMIR biomedical engineering","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41850173","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}
引用次数: 1
Understanding “Atmosome”, the Personal Atmospheric Exposome: Comprehensive Approach (Preprint) 理解“大气”,个人大气暴露:综合方法(预印本)
JMIR biomedical engineering Pub Date : 2021-03-21 DOI: 10.2196/preprints.28920
Hari Bhimaraju, Nitish Nag, Vaibhav Pandey, Ramesh C. Jain
{"title":"Understanding “Atmosome”, the Personal Atmospheric Exposome: Comprehensive Approach (Preprint)","authors":"Hari Bhimaraju, Nitish Nag, Vaibhav Pandey, Ramesh C. Jain","doi":"10.2196/preprints.28920","DOIUrl":"https://doi.org/10.2196/preprints.28920","url":null,"abstract":"\u0000 BACKGROUND\u0000 Modern environmental health research extensively focuses on outdoor air pollutants and their effects on public health. However, research on monitoring and enhancing individual indoor air quality is lacking. The field of exposomics encompasses the totality of human environmental exposures and its effects on health. A subset of this exposome deals with atmospheric exposure, termed the “atmosome.” The atmosome plays a pivotal role in health and has significant effects on DNA, metabolism, skin integrity, and lung health.\u0000 \u0000 \u0000 OBJECTIVE\u0000 The aim of this work is to develop a low-cost, comprehensive measurement system for collecting and analyzing atmosomic factors. The research explores the significance of the atmosome in personalized and preventive care for public health.\u0000 \u0000 \u0000 METHODS\u0000 An internet of things microcontroller-based system is introduced and demonstrated. The system collects real-time indoor air quality data and posts it to the cloud for immediate access.\u0000 \u0000 \u0000 RESULTS\u0000 The experimental results yield air quality measurements with an accuracy of 90% when compared with precalibrated commercial devices and demonstrate a direct correlation between lifestyle and air quality.\u0000 \u0000 \u0000 CONCLUSIONS\u0000 Quantifying the individual atmosome is a monumental step in advancing personalized health, medical research, and epidemiological research. The 2 main goals in this work are to present the atmosome as a measurable concept and to demonstrate how to implement it using low-cost electronics. By enabling atmosome measurements at a communal scale, this work also opens up potential new directions for public health research. Researchers will now have the data to model the impact of indoor air pollutants on the health of individuals, communities, and specific demographics, leading to novel approaches for predicting and preventing diseases.\u0000","PeriodicalId":87288,"journal":{"name":"JMIR biomedical engineering","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44265240","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}
引用次数: 0
Physical Activity Evaluation Using a Voice Recognition App: Development and Validation Study. 使用语音识别应用程序进行体育活动评估:开发与验证研究
JMIR biomedical engineering Pub Date : 2021-01-21 DOI: 10.2196/19088
Hideyuki Namba
{"title":"Physical Activity Evaluation Using a Voice Recognition App: Development and Validation Study.","authors":"Hideyuki Namba","doi":"10.2196/19088","DOIUrl":"10.2196/19088","url":null,"abstract":"<p><strong>Background: </strong>Historically, the evaluation of physical activity has involved a variety of methods such as the use of questionnaires, accelerometers, behavior records, and global positioning systems, each according to the purpose of the evaluation. The use of web-based physical activity evaluation systems has been proposed as an easy method for collecting physical activity data. Voice recognition technology not only eliminates the need for questionnaires during physical activity evaluation but also enables users to record their behavior without physically touching electronic devices. The use of a web-based voice recognition system might be an effective way to record physical activity and behavior.</p><p><strong>Objective: </strong>The purpose of this study was to develop a physical activity evaluation app to record behavior using voice recognition technology and to examine the app's validity by comparing data obtained using both the app and an accelerometer simultaneously.</p><p><strong>Methods: </strong>A total of 20 participants (14 men, 6 women; mean age 19.1 years, SD 0.9) wore a 3-axis accelerometer and inputted behavioral data into their smartphones for a period of 7 days. We developed a behavior-recording system with a voice recognition function using a voice recognition application programming interface. The exercise intensity was determined from the text data obtained by the voice recognition program. The measure of intensity was metabolic equivalents (METs).</p><p><strong>Results: </strong>From the voice input data of the participants, 601 text-converted data could be confirmed, of which 471 (78.4%) could be automatically converted into behavioral words. In the time-matched analysis, the mean daily METs values measured by the app and the accelerometer were 1.64 (SD 0.20) and 1.63 (SD 0.20), respectively, between which there was no significant difference (P=.57). There was a significant correlation between the average METs obtained from the voice recognition app and the accelerometer in the time-matched analysis (r=0.830, P<.001). In the Bland-Altman plot for METs measured by the voice recognition app as compared with METs measured by accelerometer, the mean difference between the two methods was very small (0.02 METs), with 95% limits of agreement from -0.26 to 0.22 METs between the two methods.</p><p><strong>Conclusions: </strong>The average METs value measured by the voice recognition app was consistent with that measured by the 3-axis accelerometer and, thus, the data gathered by the two measurement methods showed a high correlation. The voice recognition method also demonstrated the ability of the system to measure the physical activity of a large number of people at the same time with less burden on the participants. Although there were still issues regarding the improvement of automatic text data classification technology and user input compliance, this research proposes a new method for evaluating physical activi","PeriodicalId":87288,"journal":{"name":"JMIR biomedical engineering","volume":"6 1","pages":"e19088"},"PeriodicalIF":0.0,"publicationDate":"2021-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11041261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141441212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Point-of-Care Quantification of Serum Alpha-Fetoprotein for Screening Birth Defects in Resource-Limited Settings: Proof-of-Concept Study. 在资源有限的情况下,即时定量测定血清甲胎蛋白筛查出生缺陷:概念验证研究。
JMIR biomedical engineering Pub Date : 2021-01-01 Epub Date: 2020-08-14 DOI: 10.2196/23527
Balaji Srinivasan, Julia L Finkelstein, David Erickson, Saurabh Mehta
{"title":"Point-of-Care Quantification of Serum Alpha-Fetoprotein for Screening Birth Defects in Resource-Limited Settings: Proof-of-Concept Study.","authors":"Balaji Srinivasan,&nbsp;Julia L Finkelstein,&nbsp;David Erickson,&nbsp;Saurabh Mehta","doi":"10.2196/23527","DOIUrl":"https://doi.org/10.2196/23527","url":null,"abstract":"<p><strong>Background: </strong>Maternal serum alpha-fetoprotein (MSAFP) concentration typically increases during pregnancy and is routinely measured during the second trimester as a part of screening for fetal neural tube defects and Down syndrome. However, most pregnancy screening tests are not available in the settings they are needed the most. A mobile device-enabled technology based on MSAFP for screening birth defects could enable the rapid screening and triage of high-risk pregnancies, especially where maternal serum screening and fetal ultrasound scan facilities are not easily accessible. Shifting the approach from clinic- and laboratory-dependent care to a mobile platform based on our point-of-care approach will enable translation to resource-limited settings and the global health care market.</p><p><strong>Objective: </strong>The objective of this study is to develop and perform proof-of-concept testing of a lateral flow immunoassay on a mobile platform for rapid, point-of-care quantification of serum alpha-fetoprotein (AFP) levels, from a drop of human serum, within a few minutes.</p><p><strong>Methods: </strong>The development of the immunoassay involved the selection of commercially available antibodies and optimization of their concentrations by an iterative method to achieve the required detection limits. We compared the performance of our method with that of commercially obtained human serum samples, with known AFP concentrations quantified by the Abbott ARCHITECT chemiluminescent magnetic microparticle immunoassay (CMIA).</p><p><strong>Results: </strong>We tested commercially obtained serum samples (N=20) with concentrations ranging from 2.2 to 446 ng/mL to compare the results of our point-of-care assay with results from the Abbott ARCHITECT CMIA. A correlation of 0.98 (<i>P</i><.001) was observed on preliminary testing and comparison with the CMIA. The detection range of our point-of-care assay covers the range of maternal serum AFP levels observed during pregnancy.</p><p><strong>Conclusions: </strong>The preliminary test results from the AFP test on the mobile platform performed in this study represent a proof of concept that will pave the way for our future work focused on developing a mobile device-enabled quad-screen point-of-care testing with the potential to enable the screening of high-risk pregnancies in various settings. The AFP test on the mobile platform can be applied to enable screening for high-risk pregnancies, within a few minutes, at the point of care even in remote areas where maternal serum tests and fetal ultrasound scans are not easily accessible; assessment of whether clinical follow-up and diagnostic testing may be needed after a positive initial screening evaluation; and development of surveillance tools for birth defects.</p>","PeriodicalId":87288,"journal":{"name":"JMIR biomedical engineering","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8570531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39704926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Personalized Monitoring Model for Electrocardiogram Signals: Diagnostic Accuracy Study. 心电图信号的个性化监测模型:诊断准确性研究。
JMIR biomedical engineering Pub Date : 2020-12-29 eCollection Date: 2020-01-01 DOI: 10.2196/24388
Rado Kotorov, Lianhua Chi, Min Shen
{"title":"Personalized Monitoring Model for Electrocardiogram Signals: Diagnostic Accuracy Study.","authors":"Rado Kotorov, Lianhua Chi, Min Shen","doi":"10.2196/24388","DOIUrl":"10.2196/24388","url":null,"abstract":"<p><strong>Background: </strong>Due to the COVID-19 pandemic, the demand for remote electrocardiogram (ECG) monitoring has increased drastically in an attempt to prevent the spread of the virus and keep vulnerable individuals with less severe cases out of hospitals. Enabling clinicians to set up remote patient ECG monitoring easily and determining how to classify the ECG signals accurately so relevant alerts are sent in a timely fashion is an urgent problem to be addressed for remote patient monitoring (RPM) to be adopted widely. Hence, a new technique is required to enable routine and widespread use of RPM, as is needed due to COVID-19.</p><p><strong>Objective: </strong>The primary aim of this research is to create a robust and easy-to-use solution for personalized ECG monitoring in real-world settings that is precise, easily configurable, and understandable by clinicians.</p><p><strong>Methods: </strong>In this paper, we propose a Personalized Monitoring Model (PMM) for ECG data based on motif discovery. Motif discovery finds meaningful or frequently recurring patterns in patient ECG readings. The main strategy is to use motif discovery to extract a small sample of personalized motifs for each individual patient and then use these motifs to predict abnormalities in real-time readings of that patient using an artificial logical network configured by a physician.</p><p><strong>Results: </strong>Our approach was tested on 30 minutes of ECG readings from 32 patients. The average diagnostic accuracy of the PMM was always above 90% and reached 100% for some parameters, compared to 80% accuracy for the Generalized Monitoring Models (GMM). Regardless of parameter settings, PMM training models were generated within 3-4 minutes, compared to 1 hour (or longer, with increasing amounts of training data) for the GMM.</p><p><strong>Conclusions: </strong>Our proposed PMM almost eliminates many of the training and small sample issues associated with GMMs. It also addresses accuracy and computational cost issues of the GMM, caused by the uniqueness of heartbeats and training issues. In addition, it addresses the fact that doctors and nurses typically do not have data science training and the skills needed to configure, understand, and even trust existing black box machine learning models.</p>","PeriodicalId":87288,"journal":{"name":"JMIR biomedical engineering","volume":"5 1","pages":"e24388"},"PeriodicalIF":0.0,"publicationDate":"2020-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7814508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25323135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Photoplethysmogram analysis and applications: An Integrative Review (Preprint) 光容积脉搏波分析及其应用综述(预印本)
JMIR biomedical engineering Pub Date : 2020-11-06 DOI: 10.2196/preprints.25567
Hangsik Shin, Junyoung Park, Hyeon Seok Seok, Sang-Soo Kim
{"title":"Photoplethysmogram analysis and applications: An Integrative Review (Preprint)","authors":"Hangsik Shin, Junyoung Park, Hyeon Seok Seok, Sang-Soo Kim","doi":"10.2196/preprints.25567","DOIUrl":"https://doi.org/10.2196/preprints.25567","url":null,"abstract":"\u0000 UNSTRUCTURED\u0000 Photoplethysmogram is a biological signal with a high possibility of providing various hemodynamic information. Its measurement principle is simple and easy to implement. With the development of wireless communication technology, photoplethysmogram is increasingly used for the purpose of measuring the physiological state of an individual in a daily life beyond its use in a clinical environment. An example of this is that wearable devices such as smart watches and smartphones are increasingly providing healthcare services based on photoplethysmogram measurement. Despite increased spread and use of photoplethysmogram, it is not possible to specify the processing method of photoplethysmogram. Such method is considered a gold standard, including its pre-processing method. It is being studied in various ways by individual researchers. Unlike other reviews focusing on the measurement principle and clinical application of photoplethysmogram, this review examines existing research cases on photoplethysmogram about its generation mechanisms, measurement principles, clinical applications, noise definition, pre-processing techniques, feature detection techniques, and post-processing techniques for photoplethysmogram processing, especially from an engineering point of view. Furthermore, this review describes the flow of current signal processing techniques for photoplethysmogram and suggests future directions that photoplethysmogram processing research will be directed. In particular, this review looks at photoplethysmogram noise reduction technology using peak detection technology and signal quality assessment technology known to be important elements for the practical use of photoplethysmogram from a technical perspective.\u0000","PeriodicalId":87288,"journal":{"name":"JMIR biomedical engineering","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44934808","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}
引用次数: 1
Effect of Platform Swing Walkway on Locomotor Behavior in Children With Diplegic Cerebral Palsy: Randomized Controlled Trial 平台摆动步行对双瘫脑瘫患儿运动行为的影响:随机对照试验
JMIR biomedical engineering Pub Date : 2020-07-21 DOI: 10.2196/18232
Hanaa Mohsen, Omnya Samy
{"title":"Effect of Platform Swing Walkway on Locomotor Behavior in Children With Diplegic Cerebral Palsy: Randomized Controlled Trial","authors":"Hanaa Mohsen, Omnya Samy","doi":"10.2196/18232","DOIUrl":"https://doi.org/10.2196/18232","url":null,"abstract":"\u0000 \u0000 Limited attention has been given to the effectiveness of the platform swing walkway, which is a common way to improve gait pattern through activation of sensory stimuli (visual, auditory, vestibular, and somatosensory).\u0000 \u0000 \u0000 \u0000 The objective of this study was to determine the effect of a platform swing walkway on gait parameters in children with diplegic cerebral palsy (CP).\u0000 \u0000 \u0000 \u0000 A total of 30 children of both sexes (aged 6-8 years) with diplegic CP were enrolled in this study. They were randomly assigned into two groups of equal number: the control group (n=15) and the study group (n=15). The control group received the conventional physical therapy plan, whereas the study group received the same conventional physical therapy program in addition to gait training on a platform swing walkway. Temporal parameters during the gait cycle were collected using gait tracker video analysis, and the Growth Motor Function Measure Scale (GMFM-88) was used to assess standing and walking (Dimensions D and E) before and after the treatment program.\u0000 \u0000 \u0000 \u0000 A statistically significant improvement in both groups was noted when comparing the mean values of all measured variables before and after treatment (P≤.05). There were significant differences between the control and study groups with respect to all measured variables, which favored the study group when comparing the posttreatment outcomes (P≤.05).\u0000 \u0000 \u0000 \u0000 Results suggest that gait training on platform swing walkways can be included as an alternative therapeutic modality to enhance gait parameters and gross motor function in children with diplegic CP.\u0000 \u0000 \u0000 \u0000 ClinicalTrials.gov NTC04246658; https://clinicaltrials.gov/ct2/show/NTC04246658\u0000","PeriodicalId":87288,"journal":{"name":"JMIR biomedical engineering","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43308293","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}
引用次数: 0
Telerehabilitation for Patients With Knee Osteoarthritis: A Focused Review of Technologies and Teleservices 膝骨关节炎患者的远程康复:技术和远程服务综述
JMIR biomedical engineering Pub Date : 2020-07-21 DOI: 10.2196/16991
Mreza Naeemabadi, Hesam Fazlali, Samira Najafi, B. Dinesen, John Hansen
{"title":"Telerehabilitation for Patients With Knee Osteoarthritis: A Focused Review of Technologies and Teleservices","authors":"Mreza Naeemabadi, Hesam Fazlali, Samira Najafi, B. Dinesen, John Hansen","doi":"10.2196/16991","DOIUrl":"https://doi.org/10.2196/16991","url":null,"abstract":"\u0000 \u0000 Telerehabilitation programs are designed with the aim of improving the quality of services as well as overcoming existing limitations in terms of resource management and accessibility of services. This review will collect recent studies investigating telerehabilitation programs for patients with knee osteoarthritis while focusing on the technologies and services provided in the programs.\u0000 \u0000 \u0000 \u0000 The main objective of this review is to identify and discuss the modes of service delivery and technologies in telerehabilitation programs for patients with knee osteoarthritis. The gaps, strengths, and weaknesses of programs will be discussed individually.\u0000 \u0000 \u0000 \u0000 Studies published in English since 2000 were retrieved from the EMBASE, Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, Physiotherapy Evidence Database (PEDro), and PsycINFO databases. The search words “telerehabilitation,” “telehealth,” “telemedicine,” “teletherapy,” and “ehealth” were combined with “knee” and “rehabilitation” to generate a data set of studies for screening and review. The final group of studies reviewed here includes those that implemented teletreatment for patients for at least 2 weeks of rehabilitation.\u0000 \u0000 \u0000 \u0000 In total, 1198 studies were screened, and the full text of 154 studies was reviewed. Of these, 38 studies were included, and data were extracted accordingly. Four modes of telerehabilitation service delivery were identified: phone-based, video-based, sensor-based, and expert system–based telerehabilitation. The intervention services provided in the studies included information, training, communication, monitoring, and tracking. Video-based telerehabilitation programs were frequently used. Among the identified services, information and educational material were introduced in only one-quarter of the studies.\u0000 \u0000 \u0000 \u0000 Video-based telerehabilitation programs can be considered the best alternative solution to conventional treatment. This study shows that, in recent years, sensor-based solutions have also become more popular due to rapid developments in sensor technology. Nevertheless, communication and human-generated feedback remain as important as monitoring and intervention services.\u0000","PeriodicalId":87288,"journal":{"name":"JMIR biomedical engineering","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43999836","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}
引用次数: 11
Fingerprint Biometric System Hygiene and the Risk of COVID-19 Transmission 指纹生物识别系统卫生与COVID-19传播风险
JMIR biomedical engineering Pub Date : 2020-04-25 DOI: 10.2196/19623
Kenneth Okereafor, I. Ekong, Ini Okon Markson, Kingsley Enwere
{"title":"Fingerprint Biometric System Hygiene and the Risk of COVID-19 Transmission","authors":"Kenneth Okereafor, I. Ekong, Ini Okon Markson, Kingsley Enwere","doi":"10.2196/19623","DOIUrl":"https://doi.org/10.2196/19623","url":null,"abstract":"Biometric systems use scanners to verify the identity of human beings by measuring the patterns of their behavioral or physiological characteristics. Some biometric systems are contactless and do not require direct touch to perform these measurements; others, such as fingerprint verification systems, require the user to make direct physical contact with the scanner for a specified duration for the biometric pattern of the user to be properly read and measured. This may increase the possibility of contamination with harmful microbial pathogens or of cross-contamination of food and water by subsequent users. Physical contact also increases the likelihood of inoculation of harmful microbial pathogens into the respiratory tract, thereby triggering infectious diseases. In this viewpoint, we establish the likelihood of infectious disease transmission through touch-based fingerprint biometric devices and discuss control measures to curb the spread of infectious diseases, including COVID-19.","PeriodicalId":87288,"journal":{"name":"JMIR biomedical engineering","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48867392","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}
引用次数: 24
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