scholarly journals 2426 Fostering cross-disciplinary research: Lessons learned from STTEP-UP

2018 ◽  
Vol 2 (S1) ◽  
pp. 56-56 ◽  
Author(s):  
Hannibal Person ◽  
Adjoa R. Smalls-Mantey ◽  
Oluwasheyi Ayeni ◽  
Dagmar Hernandez-Saurez ◽  
Emma K. T. Benn ◽  
...  
Keyword(s):  
Healthcare System ◽  
Lessons Learned ◽  
Virtual Learning Environment ◽  
Provider Education ◽  
Research Strategies ◽  
Web Based ◽  
Protected Time ◽  
Study Population ◽  
Group Brainstorming ◽  
New Research

OBJECTIVES/SPECIFIC AIMS: N/A. METHODS/STUDY POPULATION: N/A. RESULTS/ANTICIPATED RESULTS: N/A. DISCUSSION/SIGNIFICANCE OF IMPACT: There is an increasing need to foster cross-disciplinary research to address complex problems within healthcare. The Sinai Team-based Translational Education Program: the URM Propeller (STTEP-UP) is a NCATS funded program through the Icahn School of Medicine at Mount Sinai. Its goal is to facilitate URM post-doctoral trainees becoming innovative leaders in clinical and translational research. The program includes a team-based research component, where fellows collaborate on a project. This year, disciplines represented by the four fellows include Cardiology, Psychiatry, Neurology, and Pediatrics. Identifying a clinical question and designing an investigation was facilitated by group brainstorming meetings with program mentors. Fellows designed a project to identify medical testing and prescribing that were not clinically indicated throughout the healthcare system, with the goal of exploring whether an intervention, including provider education, could reduce ordering practices. In addition to regular in-person meetings, a licensed virtual learning environment and free web-based sharing platform were used to foster collaboration. Challenges faced throughout this process, included fellows struggling to find protected time, difficulties accessing broad sets of data across the healthcare system, and overcoming administrative barriers between departments. Strengths of this approach, included fellows learning new research strategies and feeling a deeper sense of commonality with their peers. Overall, this experience supports the idea that cross-disciplinary research improves the collaboration and education of emerging researchers. However, addressing logistical and systems-based barriers may better facilitate this education and research.

scholarly journals Solutions for Unexpected Challenges Encountered when Integrating Research Genomics Results into the EHR

ACI Open ◽  
2020 ◽  
Vol 04 (02) ◽  
pp. e132-e135
Author(s):  
Luke V. Rasmussen ◽  
Christin Hoell ◽  
Maureen E. Smith ◽  
Rex Chisholm ◽  
Justin Starren ◽  
...  
Keyword(s):  
Genetic Research ◽  
Lessons Learned ◽  
Return Of Results ◽  
Patient Portal ◽  
Test Results ◽  
Research Results ◽  
Genetic Test Results ◽  
Future Return ◽  
New Research ◽  
Genetic Results

Abstract Background While there have been published reports detailing technical challenges of incorporating genetic test results into the electronic health record (EHR) with proposed solutions, less has been published about unanticipated sociotechnological or practical communication challenges involved in this process. Objectives This study was aimed to describe unanticipated issues that arose returning genetic research results through the EHR as part of the National Human Genome Research Institute (NHGRI)-funded electronic Medical Records and Genomics (eMERGE) 3 consortium, and provide lessons learned for future implementations Methods We sequenced 3,000 participants on a 109-gene panel and returned genetic results initially in person and/or by letter, with a later release directly into the EHR and patient portal. Results When results were returned through the EHR, multiple participants expressed confusion and contacted the health system, resulting in our institution temporarily freezing our return of research results. Discussion We determined the likely causes of this issue to be (1) the delay between enrollment and results return, (2) inability to personalize mass e-mail messages announcing new research test results in the EHR, (3) limited space for description of test results in the EHR, and (4) the requirement to list an ordering physician for research results in the EHR. For future return of results, we propose sending preparatory e-mails to participants, including screenshots of how they can expect to see their results presented in the EHR portal. Conclusion We hope our lessons learned can provide helpful guidance to other sites implementing research genetic results into the EHR and can encourage EHR developers to incorporate greater flexibility in the future.

Adapting an Evidence-Based Early Childhood Tier 2 Social-Emotional Learning Intervention for Web-Based Delivery

2021 ◽  
pp. 004723952110160
Author(s):  
Kristen L. Granger ◽  
Maureen A. Conroy ◽  
Kevin S. Sutherland ◽  
Edward G. Feil ◽  
Jessica Wright ◽  
...  
Keyword(s):  
Early Childhood ◽  
Intervention Program ◽  
Phase 1 ◽  
Lessons Learned ◽  
Study Phase ◽  
Evidence Based ◽  
Tier 2 ◽  
Web Based ◽  
Testing Phase ◽  
Panel Review

The purpose of this article is to describe the adaptation process of an evidence-based early childhood Tier-2 intervention program, BEST in CLASS-Prekindergarten, from a face-to-face format to a web-based delivery format called BEST in CLASS-Web. We describe the three-phase iterative development process used to adapt the parent program for delivery via the web. Activities in these phases included focus groups, interviews, an expert panel review, alpha and beta testing (Phase 1), feasibility testing (Phase 2), and a pilot promise study (Phase 3). Each phase included a series of refinements and improvements to materials based on data and stakeholder feedback. Lessons learned and implications for developing and implementing professional development services via online platforms are discussed.

scholarly journals Lessons Learned from Development of a Mobile App for Cardiovascular Health Awareness

2021 ◽  
Vol 13 (11) ◽  
pp. 5985
Author(s):  
Bryan Weichelt ◽  
Jeffrey VanWormer ◽  
Yin Xu ◽  
Chris Kadolph ◽  
Simon Lin
Keyword(s):  
Cardiovascular Disease ◽  
Health Information ◽  
Healthcare System ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
The United States ◽  
Mobile App ◽  
Lessons Learned ◽  
Health Concern ◽  
Development Processes

Cardiovascular disease (CVD) is a major public health concern in the United States. In response to the federally sponsored Million Hearts Risk Check Challenge, a team of programmers, software developers, health-information technologists, and clinicians in an integrated healthcare system in Wisconsin collaborated to develop Heart Health MobileTM (HHM), designed to improve awareness of cardiovascular disease risk and promote risk factor control among users. This paper outlines the development processes and highlights key lessons learned for mobile health applications. An agile project management methodology was used to dedicate adequate resources and employ adaptive planning and iterative development processes with a self-organized, cross-functional team. The initial HHM iOS app was developed and tested, and after additional modifications, gamified and HTML 5 versions of the app were released. The development of an iOS app is low in cost and sustainable by a healthcare system. Future app modifications to enhance data security and link self-reported cardiovascular risk assessment data to patient medical records may improve performance, patient relevance, and clinician acceptance of HHM in the primary-care setting. Legal and institutional barriers regarding the capture and analyses of protected health information must be mitigated to fully capture, analyze, and report patient health outcomes for future studies.

The Patient in Patient Safety: Contemporary Issues, From COVID-19 to Citizen Science

2021 ◽  
Vol 10 (1) ◽  
pp. 301-303
Author(s):  
Elizabeth Lerner Papautsky ◽  
Richard J. Holden ◽  
Rupa S. Valdez ◽  
Jordan Hill ◽  
Janetta Brown
Keyword(s):  
Social Media ◽  
Patient Safety ◽  
Citizen Science ◽  
Human Subjects ◽  
Lessons Learned ◽  
Human Subjects Research ◽  
Research Strategies ◽  
Face To Face

In the 4th panel on the topic of The Patient in Patient Safety, we highlighted topics of current relevance and facilitated a reflection session. The objective was to highlight the ways in which the COVID-19 pandemic has impacted patient ergonomics research and work, with particular focus on safety. After a topic overview, panelists presented their work on overcoming challenges to human subjects research created by the suspension of face-to-face activities during the COVID-19 pandemic. A facilitated reflection and brainstorming session using Miro followed. We used questions to elicit examples of patient and caregiver roles in safety during the pandemic and research strategies and challenges. These questions were also distributed on social media prior to the event. The panel served as an opportunity to share lessons learned.

scholarly journals Diabetes classification application with efficient missing and outliers data handling algorithms

2021 ◽  
Author(s):  
Hanaa Torkey ◽  
Elhossiny Ibrahim ◽  
EZZ El-Din Hemdan ◽  
Ayman El-Sayed ◽  
Marwa A. Shouman
Keyword(s):  
Deep Learning ◽  
Healthcare System ◽  
Wearable Sensors ◽  
Model Performance ◽  
Analysis Model ◽  
Human Errors ◽  
Web Based ◽  
Machine Learning Model ◽  
Complete Dataset ◽  
Smart Wearable

AbstractCommunication between sensors spread everywhere in healthcare systems may cause some missing in the transferred features. Repairing the data problems of sensing devices by artificial intelligence technologies have facilitated the Medical Internet of Things (MIoT) and its emerging applications in Healthcare. MIoT has great potential to affect the patient's life. Data collected from smart wearable devices size dramatically increases with data collected from millions of patients who are suffering from diseases such as diabetes. However, sensors or human errors lead to missing some values of the data. The major challenge of this problem is how to predict this value to maintain the data analysis model performance within a good range. In this paper, a complete healthcare system for diabetics has been used, as well as two new algorithms are developed to handle the crucial problem of missed data from MIoT wearable sensors. The proposed work is based on the integration of Random Forest, mean, class' mean, interquartile range (IQR), and Deep Learning to produce a clean and complete dataset. Which can enhance any machine learning model performance. Moreover, the outliers repair technique is proposed based on dataset class detection, then repair it by Deep Learning (DL). The final model accuracy with the two steps of imputation and outliers repair is 97.41% and 99.71% Area Under Curve (AUC). The used healthcare system is a web-based diabetes classification application using flask to be used in hospitals and healthcare centers for the patient diagnosed with an effective fashion.

DOCUMENTARY ANIMATED: GENESIS AND SPECIFICITY (PREVIEW ARTICLE)

2021 ◽  
pp. 96-115
Author(s):  
Natalia G. Krivulya ◽  
Keyword(s):  
Scientific Literature ◽  
Cultural Practice ◽  
Academic Community ◽  
Classification Systems ◽  
Narrative Strategies ◽  
Research Strategies ◽  
Dual Nature ◽  
Animated Film ◽  
The One ◽  
New Research

Animated documentary is becoming one of the fastest growing phenomena of modern screen art in the post-truth era. The review and analysis of scientific works devoted to animated documentary is seen as relevant both for the further development of scientific thought and the search for new research strategies that expand the problem field, and for the practical sphere. The research was conducted on the basis of a review and analysis of scientific literature (monographs and articles in international journals included in electronic research system international databases Scopus, Web of Science, eLibrary.ru) in English, Spanish and Russian for the period 1997-2019. The novelty of the review article is not only an attempt to present a systematic view of animated documentary as a phenomenon of screen art, but also to identify and systematize the areas in which scientific discussions are conducted. It introduces the reader to theoretical views on the terminology, Genesis, specifics, nature, and classification systems of documentary animation. Animated documentary appeared when the cinema was just taking first steps but its development began in the 1980s. At this time, animation begins to take an interest in reality, inner peace, and socially taboo topics. Since the 1990s, the foundations of animated documentary are laid, narrative strategies are developed, and a new language are actively sought. Interest in animated documentary from the scientific community arose only in the 2000s. On the one hand, it has been manifested by the increasing role of documentation in the art, which has taken on an attraction character since the advent of digital technology; on the other hand, and as a consequence of the convergence of screen arts and the emergence of hybridization trends. The academic community has focused around developing definitions and understanding what can be attributed to the field of documentary animation. By 2010, the scientific literature focused on issues related to the specifics of animated documentary, ways of presenting reality, and indexing. By the mid-2010s, animation is becoming the subject of interdisciplinary study. At this time, there are develop tools for analyzing works of animated documentaries, and its genre system begins to build. One of the main features of animated documentaries is hybridity. Its dual nature is born of fluctuations between the certainty of facts and artistic embodiment. The problems of authenticity and representation of reality become one of the most controversial topics in an animated film. The work provides an overview of theoretical studies on the genesis, history and particularities of animadoc. The theoretical texts identify three approaches that form the main directions in the analysis of animated documentary. The first group of researchers analyzes this phenomenon and its nature based on the theories of documentaries and the transformation with the advent of digital technologies, of the concepts of reality, authenticity and fact (document). The second group of authors considers animation as a phenomenon of modern animation that arose as a result of technological renewal and changes in its role as a socio-cultural practice. A third group of scientists believes that animadoc is a post-postmodern phenomenon that arose as a means of presenting a world in which there is mobility of borders and cyberspace becomes a new reality. The review allows us to conclude that animated documentary is a manifestation of a new mode of postphotographic vision of a reflexive nature, in which the imagination that refracts images of reality becomes of primary importance. Despite the interest in it from the academic community and the emergence of theoretical works, the study of this phenomenon is only at the initial stage. Despite the interest in it from the academic community, there is a small number of deep theoretical works caused by the hybrid nature of the phenomenon itself, the imperfection of working models and methods for analyzing representational strategies, and the problems of forming a conceptual apparatus.

scholarly journals Design-Based Research: Definition, Characteristics, Application and Challenges

2019 ◽  
Vol 5 (1) ◽  
pp. 26-35
Author(s):  
Hamed Vaezi ◽  
Hossein Karimi Moonaghi ◽  
Reyhaneh Golbaf
Keyword(s):  
Medical Education ◽  
Practical Knowledge ◽  
Educational Innovation ◽  
Sources Of Information ◽  
Multiple Sources ◽  
Short Term ◽  
Web Based ◽  
Design Based Research ◽  
Definition Of ◽  
New Research

In recent years medical education has developed dramatically, but lecturers often cite the existence of a gap between theoretical and practical knowledge. In the first decade of the present century, new research methodology named “design-based research (DBR)” was developed, which most experts and journals refer to as a fundamental way to make changes in the quality and applicability of studies and educational research as well as to enhance and improve the practice of instruction. The aim of the present study was introducing design-based research and its concepts, features, applications, and challenges. A narrative review was conducted in 2018. For this purpose, authorized English academic database including Web of Science, Science Direct, Google Scholar, international database and library in medical research filed with keywords including “design-based research, definition of DBR, DBR applications, medical education, and DBR challenges” without date limitation until 2018.11.21 were screened. Overall, 68 articles were selected and after careful reading, 21 article with related subjects were selected for material extraction. The conclusion was made that DBR that combines empirical research with design-based theories could be considered as an effective method for understanding quality, time and the cause of the phenomenon of educational innovation in practice. Usually DBR is formed by initial evaluation of a problem that occurs in a particular context, and this assessment continues throughout design and implementation. One of the characteristics of DBR is the guiding team, which includes researchers, professionals, designers, managers, teachers, trainers and others whose expertise and knowledge may in some way help. The application of DBR in web-based training programs is quite evident. The probability of non-returns in short-term projects is one of the main challenges of DBR. Medical education has developed dramatically in recent years, but it has made little progress in promoting innovative research methodologies. DBR can be used as a bridge between theories and practice and provide the basis for close communication between researchers, designers, and participants. By applying sophisticated methods and multiple sources of information, the success rate of an intervention in a particular environment is assessed, which ultimately leads to improved theories.

scholarly journals Developing Web-based Education Resources: Lessons Learned From Three Experiences

2017 ◽  
Vol 25 (2) ◽  
pp. 13
Author(s):  
Jo Ann Carr
Keyword(s):  
Case Studies ◽  
Web Site ◽  
Lessons Learned ◽  
The Internet ◽  
Technological Changes ◽  
Web Based ◽  
Education Resources ◽  
Annotated List ◽  
Web Based Education

This article reviews the development of three Web-based education resources and the potential for each of these resources to meet the needs of users for a 'killer app'. Three case studies (the Annotated List of Education Journals, the IDEAS Portal Web Site and the Eisenhower National Clearinghouse Web Site)review the purpose, audience, content, funding, publicity and structure of the sites. Differences in staffing, funding and the centrality of these sites to the mission of their sponsoring institutions impacted the growth of these sites. Technological changes and the diffuse nature of the Internet also impacted the development of these resources.

scholarly journals Web-based questionnaires: Lessons learned from practical implementation of a pharmacoepidemiological study

F1000Research ◽  
2017 ◽  
Vol 6 ◽  
pp. 135
Author(s):  
Raissa Cândido ◽  
Edson Perini ◽  
Cristiane Menezes de Pádua ◽  
Daniela Junqueira
Keyword(s):  
Data Collection ◽  
Information Science ◽  
Cognitive Enhancement ◽  
Lessons Learned ◽  
Practical Implementation ◽  
Considerable Effort ◽  
Pharmacoepidemiological Study ◽  
Web Based ◽  
Respondent Burden ◽  
Online Mode

Web-based questionnaires may offer advantages over traditional methods of data collection, including a less administrative workload and reduced respondent burden. However, the implementation of this mode of data collection carries other challenges and may demand more technical expertise to be designed and delivered. Here, we use the preliminary data from a survey developed to estimate the prevalence of methylphenidate use for cognitive enhancement among undergraduate and graduate students, to share the lessons we learned while implementing this online mode of data collection. We show that surveys using a web-based questionnaire should be carried out by a multidisciplinary team with support from Information Science specialists. Limitations to access these resources or budget constraints may demand a considerable effort to assure the success of the survey. Web-questionnaires are usually described as easy to use and economically encouraging. Therefore, we believe our experience, and the lessons we learned, may be a relevant resource for researchers from general backgrounds intending to undertake their first web-questionnaire.

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