Journal of mobile technology in medicine最新文献

{"title":"Setting the framework for intelligent apps","authors":"R. Chakrabarti, C. Perera","doi":"10.7309/JMTM.3.2.1","DOIUrl":"https://doi.org/10.7309/JMTM.3.2.1","url":null,"abstract":"It is with great privilege that we present this second issue of the Journal for the year with a poignant publication on the framework of app development by Marvel et al. Many of our readership audience, who themselves are app developers are overtly aware of the need for closer examination of app quality over quantity. Recent reviews of apps in medical subspecialties have highlighted deficiencies in what is largely an unsolicited market. Issues that have emerged on review of medical apps include scientific accuracy of content, achieving the intended objectives, paucity of peer review/ expert involvement, and consideration of the needs the end-user. Regulation of medical apps in particular is tantamount given they are readily accessible to a public audience. Thus misleading information or inaccuracies of the app may have ramifications upon individual health directly.","PeriodicalId":87305,"journal":{"name":"Journal of mobile technology in medicine","volume":"3 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2014-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71136297","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":"USE OF SMARTPHONES AMONG MEDICAL STUDENTS IN THE CLINICAL YEARS AT A MEDICAL SCHOOL IN SUB- SAHARA AFRICA :A PILOT STUDY","authors":"A. Nasiru, Mohammad, FWACPaed, A. Abiodun, I. Taofeeq","doi":"10.7309/JMTM.3.2.5","DOIUrl":"https://doi.org/10.7309/JMTM.3.2.5","url":null,"abstract":"Nasiru A Ibrahim, MBBS, FWACS, Mohammad Salisu, MBBS, FWACPaed, Abiodun A Popoola, MBBS, FWACS, Taofeeq I Ibrahim, MBBS Department of Surgery, Lagos State University College of Medicine, Ikeja, Lagos State, Nigeria; Department of Paediatrics, Lagos State University College of Medicine, Ikeja, Lagos State, Nigeria; Department of Radiology, Lagos State University College of Medicine, Ikeja, Lagos State, Nigeria; Federal Medical Centre, Ebute Metta, Lagos State, Nigeria Corresponding author: Nasiru A Ibrahim, Department of Surgery, Lagos State University College of Medicine, 1 4 Oba Akinjobi Street, Ikeja, Lagos State, Nigeria. Tel: 2348023044971, E-mail: ibrahimakanmu@yahoo.com","PeriodicalId":87305,"journal":{"name":"Journal of mobile technology in medicine","volume":"3 1","pages":"28-34"},"PeriodicalIF":0.0,"publicationDate":"2014-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71136382","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 ROLE OF SMARTPHONES IN THE RECORDING AND DISSEMINATION OF MEDICAL IMAGES","authors":"Michael Kirk, Sarah R Hunter-Smith, Katrina M. Smith, D. Hunter-Smith","doi":"10.7309/JMTM.3.2.7","DOIUrl":"https://doi.org/10.7309/JMTM.3.2.7","url":null,"abstract":"Background:Smartphones have evolved rapidly in the medical profession, and can now produce highquality medical images, providing a quick and simple method of image distribution. This has thepotential to improve clinical care of patients, but comes with specific ethical and medico-legalconsiderations that include issues of confidentiality, privacy and policy control.Aim: To quantify the use, distribution and storage of medical images taken using smartphones byclinicians, along with their perceptions regarding policies, practices and patient care.Methods: All clinicians and medical students employed or undergoing rotation at Peninsula Healthduring March 2012 were asked to participate in a de-identified, 36 item, online survey administeredby SurveyMonkey. The survey questioned respondent’s demographics, and issues surrounding therecording and dissemination of medical images using smartphones.Results: 134 responses were received. Most respondents were from the surgical discipline, followedby medicine, then emergency. Sixty five per cent admitted to taking medical images on theirsmartphones, yet no consent was obtained in almost a quarter (24%). When consent was taken, itwas predominantly verbal, but only documented 23% of the time. Of those who took medicalimages, 64% stored them personally and 82% shared them with someone else, mostly for input fromanother clinician. Forty three per cent were aware that an institutional policy existed, but only 28%had read the policy.Conclusion: Whilst the use of smartphones in a hospital setting is inevitable, the results obtainedhighlight issues related to privacy, confidentiality and patient care. This study will enable discussionand formulation of an evidence-based hospital policy","PeriodicalId":87305,"journal":{"name":"Journal of mobile technology in medicine","volume":"3 1","pages":"40-45"},"PeriodicalIF":0.0,"publicationDate":"2014-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71136478","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":"Validation of a Portable Electronic Visual Acuity System","authors":"Mbbs Pavindran A Gounder, Mbbs Eliza Cole, Mbbs Franzco Stephen Colley, D. Hille","doi":"10.7309/JMTM.3.2.6","DOIUrl":"https://doi.org/10.7309/JMTM.3.2.6","url":null,"abstract":"Background: The use of tablet devices and smartphones in medicine as assessment tools is becoming more widespread. These devices now run mobile applications or ‘‘apps’’ that have traditionally been the domain of desktop computers or more dedicated hardware. It is important that health professionals have confidence in the accuracy of measurements obtained from these new tools. The ‘‘EyeSnellen’’ app for the iPhone/iPad (running Apple Inc’s iOS operating system) allows users to measure visual acuity using a portable Snellen chart installed on a tablet device. Aims: To compare the visual acuity measurements obtained from EyeSnellen iPad app with a standard illuminated Snellen Chart. Methods: Participants were recruited from a tertiary level eye clinic in Western Australia. Visual acuity was measured using the Snellen light box chart and a visual acuity measurement was obtained using EyeSnellen app installed on an Apple iPad mini with the use of an Apple Iphone as a remote that was connected via Bluetooth. Results: 122 eyes were tested. Bland-Altman analysis revealed a mean difference of 0.001 logMAR units between the visual acuity measurements obtained from EyeSnellen app and those taken on the light box chart with 95% limits of agreement of 0.169 to 0.171. Conclusion: The Snellen Chart function on EyeSnellen app is equivalent to the traditional Snellen chart at measuring visual acuity at a test distance of 6 metres.","PeriodicalId":87305,"journal":{"name":"Journal of mobile technology in medicine","volume":"3 1","pages":"35-39"},"PeriodicalIF":0.0,"publicationDate":"2014-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71136497","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":"Epilepsy Treatment Simplified through Mobile Ketogenic Diet Planning.","authors":"Hanzhou Li,&nbsp;Jeffrey L Jauregui,&nbsp;Cagla Fenton,&nbsp;Claire M Chee,&nbsp;A G Christina Bergqvist","doi":"10.7309/jmtm.3.2.3","DOIUrl":"https://doi.org/10.7309/jmtm.3.2.3","url":null,"abstract":"<p><strong>Background: </strong>The Ketogenic Diet (KD) is an effective, alternative treatment for refractory epilepsy. This high fat, low protein and carbohydrate diet mimics the metabolic and hormonal changes that are associated with fasting.</p><p><strong>Aims: </strong>To maximize the effectiveness of the KD, each meal is precisely planned, calculated, and weighed to within 0.1 gram for the average three-year duration of treatment. Managing the KD is time-consuming and may deter caretakers and patients from pursuing or continuing this treatment. Thus, we investigated methods of planning KD faster and making the process more portable through mobile applications.</p><p><strong>Methods: </strong>Nutritional data was gathered from the United States Department of Agriculture (USDA) Nutrient Database. User selected foods are converted into linear equations with <i>n</i> variables and three constraints: prescribed fat content, prescribed protein content, and prescribed carbohydrate content. Techniques are applied to derive the solutions to the underdetermined system depending on the number of foods chosen.</p><p><strong>Results: </strong>The method was implemented on an iOS device and tested with varieties of foods and different number of foods selected. With each case, the application's constructed meal plan was within 95% precision of the KD requirements.</p><p><strong>Conclusion: </strong>In this study, we attempt to reduce the time needed to calculate a meal by automating the computation of the KD via a linear algebra model. We improve upon previous KD calculators by offering optimal suggestions and incorporating the USDA database. We believe this mobile application will help make the KD and other dietary treatment preparations less time consuming and more convenient.</p>","PeriodicalId":87305,"journal":{"name":"Journal of mobile technology in medicine","volume":"3 2","pages":"11-15"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5546754/pdf/nihms884675.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35255038","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}

{"title":"Policy Panel: Opportunities and Challenges Related to Using Technology-based Interventions for HIV Prevention and Care","authors":"K. Farrell, I. Holloway","doi":"10.7309/JMTM.3.1S.7","DOIUrl":"https://doi.org/10.7309/JMTM.3.1S.7","url":null,"abstract":"The purpose of the policy panel session was to gather experts in health technology development, HIV service delivery, and law and policy to discuss the benefits and challenges of providing technology-based HIV prevention and care, with a particular focus on health information security and privacy protection. The key discussion questions were: What are the primary concerns of clients regarding privacy and to what extent do clients have control over their private health information? What are the necessary precautions that clients can take to ensure that their health information is kept private? How can technology companies who interact with researchers and healthcare providers improve their privacy protections for clients?","PeriodicalId":87305,"journal":{"name":"Journal of mobile technology in medicine","volume":"3 1","pages":"9-9"},"PeriodicalIF":0.0,"publicationDate":"2014-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71135908","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":"USING TEXT MESSAGING TO REDUCE METHAMPHETAMINE USE AND SEXUAL RISK BEHAVIORS AND INCREASE ART ADHERENCE AMONG MEN WHO HAVE SEX WITH MEN","authors":"C. Reback","doi":"10.7309/JMTM.3.1S.6","DOIUrl":"https://doi.org/10.7309/JMTM.3.1S.6","url":null,"abstract":"Methamphetamine use among MSM is deeply integrated into socio-sexual networks including physical risk venues such as circuit parties, sex clubs, and bathhouses and digital spaces such as cell phone applications, websites, and digital chat rooms to ‘‘hook up’’ for sex. Thus, methamphetamine use is highly associated with HIV infection due specifically to concomitant high-risk sexual behaviors that occur while using the drug. Textmessaging is a feasible and sustainable approach for targeting high-risk, methamphetamine-using MSM; particularly, those who fail to attend face-to-face or site-based interventions. A real-time text-messaging intervention capitalizes on a communication channel to which this population will attend at the exact time they are most likely to make high-risk sexual decisions. In the Stage I (N 52) open label pilot study there were significant decreases in frequency of methamphetamine use and unprotected sex while on methamphetamine (both p B.01), and a significant increase in self-reported abstinence from methamphetamine use (13.3% vs. 48.9%; p B.001) from baseline to follow-up. Additionally, participants reported reductions of unprotected anal intercourse with HIV-positive partners (p B.01); with HIV-negative partners, participants reported fewer insertive and receptive episodes (both p B.05). The Stage II randomized controlled trial, which will begin enrollment in February 2014, will assess the impact of the theory-based text-messaging intervention on reductions in methamphetamine use and HIV sexual risk behavior and, for the HIV-infected participants, simultaneously increases in HIV antiretroviral treatment/adherence, and determine the cost effectiveness of the text-messaging intervention. Participants will receive text messages that are personally tailored to fit their risk profile. Participants will be randomized into one of three conditions: Group 1: culturally relevant theory-based text messages interactively transmitted by peer health educators; or, Group 2: the same culturally relevant theory-based text messages transmitted by automation; or, Group 3: assessment-only control with no theoretically based text messages.","PeriodicalId":87305,"journal":{"name":"Journal of mobile technology in medicine","volume":"3 1","pages":"8-8"},"PeriodicalIF":0.0,"publicationDate":"2014-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71135846","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":"Socially Optimized Learning in Virtual Environments (SOLVE): Developing, Evaluating, and Disseminating A Game HIV Prevention Intervention Nationally Over the Web","authors":"L. Miller, John L. Christensen, P. Appleby, S. Read, S. Marsella, Charisse L. Corsbie-Massay, C. Godoy, Mei Si, Janeane N. Anderson, David C. Jeong, Mina Park","doi":"10.7309/JMTM.3.1S.2","DOIUrl":"https://doi.org/10.7309/JMTM.3.1S.2","url":null,"abstract":"Young men (1824) who have sex with men (YMSM) are at high risk for contracting HIV. Most existing HIV prevention interventions focus on changing intervening cognitive and deliberative processes or outcomes (e.g., beliefs, norms, self-efficacy, intentions) to change behavior. Many MSM, however, guided by contextual cues in emotionally arousing scenarios, make more automatic risky decisions they later regret. One emotion in a sexual narrative that might precipitate more automatic risky choices for young MSM may be shame (e.g., in one’s sexual desires). But, HIV prevention interventions are not designed to reduce MSM’s shame. SOLVE (Socially Optimized Learning in Virtual Environments), as demonstrated by an NIAID-funded randomized control trial, used a sex-positive game to reduce MSM’s shame, increase traditional immediate cognitive outcomes, and reduce unprotected anal intercourse for young Black, Latino, and White MSM (1824) over 3 months. Could interactive interventions be delivered more broadly over the web? In prior CHRP funded work, a SOLVE interactive video (IAV) intervention was streamed over the web throughout California. However, an IAV approach limits the amount of user interaction, risk challenges users receive, and intervention tailoring to MSM’s decisions. This is addressed using a nationally deliverable 3D animated intelligent agents/interactive digital storytelling game in UNITY. MSM design their own characters, make choices for them on dates and sexual interactions, and are scaffolded by the user character’s virtual future self (participant’s older chosen self-character) to enhance self-regulation when risky. The NIMH-funded SOLVE-IT game development process for young MSM is discussed. Preliminary results from a 6-month randomized controlled trial conducted nationally, over the web, are promising.","PeriodicalId":87305,"journal":{"name":"Journal of mobile technology in medicine","volume":"3 1","pages":"4-4"},"PeriodicalIF":0.0,"publicationDate":"2014-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71135983","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":"HOW TECHNOLOGY REDUCES THE RISK-TAKING OF HOMELESS YOUTH","authors":"E. Rice","doi":"10.7309/JMTM.3.1S.5","DOIUrl":"https://doi.org/10.7309/JMTM.3.1S.5","url":null,"abstract":"BACKGROUND Homeless youth are at extreme risk for HIV/AIDS. Their risk taking behaviors have consistently been linked to their engagement with risk-taking peer networks. Modern communication technologies such as social media, cell phones, and email have changed what it means to be homeless. Youth today are not limited to connecting only with other high-risk youth, in person on the streets. Now, technologyusing youth are able to connect to pro-social networks comprised of family and friends who are not involved in the high-risk activities of street life.","PeriodicalId":87305,"journal":{"name":"Journal of mobile technology in medicine","volume":"3 1","pages":"7-7"},"PeriodicalIF":0.0,"publicationDate":"2014-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71135832","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":"HIV Prevention is 215 Feet Away: Developing Geosocial Networking Interventions for Young Gay, Bisexual and Other Men Who Have Sex With Men","authors":"I. Holloway","doi":"10.7309/JMTM.3.1S.4","DOIUrl":"https://doi.org/10.7309/JMTM.3.1S.4","url":null,"abstract":"HIV continues to rise among young gay, bisexual and other men who have sex with men (YMSM) despite current prevention efforts. Increasingly, YMSM are using smartphone applications (‘‘apps’’) to communicate with friends, meet romantic partners and seek information about health. A growing number of apps for YMSM contain a geosocial networking component, allowing users to send text messages, photos and pin drops to other users according to geographic proximity. These apps are becoming increasingly specialized for targeted subpopulations of MSM and attract millions of users worldwide. Our research team used the geolocation feature of a popular app to recruit a probability sample of YMSM (ages 18-24; N195) in Southern California. Participants completed an anonymous online survey on a variety of topics, including sexual health and technology use. YMSM in our study were single (87%), educated (85% college degree or higher), gay-identified (87%) and largely out to family and friends (94%). Over three-quarters had used the app to meet a sexual partner and 29% indicated their primary reason for using the app was to ‘‘hook up.’’ However, YMSM also used the app to connect to the gay community (65%), make new friends (80%) and kill time when bored (86%). Eighty-eight percent of users logged onto the app daily (50% logged on five or more times a day); 46% used at least one other gay geosocial networking app and 70% indicated willingness to receive HIV prevention information via smartphone. Results indicate that geosocial networking apps represent a prime opportunity for discreet, targeted outreach for YMSM. Possible functionality could include geolocation-based HIV test finders, automated behavioral and biomedical prevention reminders, gay-specific content on health and well-being and network-based health promotion. Future community-based research with YMSM and smartphone app companies on optimal design and functionality of geosocial networking interventions for YMSM is needed.","PeriodicalId":87305,"journal":{"name":"Journal of mobile technology in medicine","volume":"3 1","pages":"6-6"},"PeriodicalIF":0.0,"publicationDate":"2014-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71135766","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}