scholarly journals Impact of Automatic Query Generation and Quality Recognition Using Deep Learning to Curate Evidence From Biomedical Literature: Empirical Study

10.2196/13430 ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. e13430 ◽  
Author(s):  
Muhammad Afzal ◽  
Maqbool Hussain ◽  
Khalid Mahmood Malik ◽  
Sungyoung Lee
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Wearable Sensors ◽  
Biomedical Literature ◽  
Medical Practitioners ◽  
Recognition Model ◽  
Content Quality ◽  
Knowledge Based ◽  
Evidence Quality ◽  
Literature Curation

Background The quality of health care is continuously improving and is expected to improve further because of the advancement of machine learning and knowledge-based techniques along with innovation and availability of wearable sensors. With these advancements, health care professionals are now becoming more interested and involved in seeking scientific research evidence from external sources for decision making relevant to medical diagnosis, treatments, and prognosis. Not much work has been done to develop methods for unobtrusive and seamless curation of data from the biomedical literature. Objective This study aimed to design a framework that can enable bringing quality publications intelligently to the users’ desk to assist medical practitioners in answering clinical questions and fulfilling their informational needs. Methods The proposed framework consists of methods for efficient biomedical literature curation, including the automatic construction of a well-built question, the recognition of evidence quality by proposing extended quality recognition model (E-QRM), and the ranking and summarization of the extracted evidence. Results Unlike previous works, the proposed framework systematically integrates the echelons of biomedical literature curation by including methods for searching queries, content quality assessments, and ranking and summarization. Using an ensemble approach, our high-impact classifier E-QRM obtained significantly improved accuracy than the existing quality recognition model (1723/1894, 90.97% vs 1462/1894, 77.21%). Conclusions Our proposed methods and evaluation demonstrate the validity and rigorousness of the results, which can be used in different applications, including evidence-based medicine, precision medicine, and medical education.

scholarly journals Impact of Automatic Query Generation and Quality Recognition Using Deep Learning to Curate Evidence From Biomedical Literature: Empirical Study (Preprint)

2019 ◽  
Author(s):  
Muhammad Afzal ◽  
Maqbool Hussain ◽  
Khalid Mahmood Malik ◽  
Sungyoung Lee
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Wearable Sensors ◽  
Biomedical Literature ◽  
Medical Practitioners ◽  
Recognition Model ◽  
Content Quality ◽  
Knowledge Based ◽  
Evidence Quality ◽  
Literature Curation

BACKGROUND The quality of health care is continuously improving and is expected to improve further because of the advancement of machine learning and knowledge-based techniques along with innovation and availability of wearable sensors. With these advancements, health care professionals are now becoming more interested and involved in seeking scientific research evidence from external sources for decision making relevant to medical diagnosis, treatments, and prognosis. Not much work has been done to develop methods for unobtrusive and seamless curation of data from the biomedical literature. OBJECTIVE This study aimed to design a framework that can enable bringing quality publications intelligently to the users’ desk to assist medical practitioners in answering clinical questions and fulfilling their informational needs. METHODS The proposed framework consists of methods for efficient biomedical literature curation, including the automatic construction of a well-built question, the recognition of evidence quality by proposing extended quality recognition model (E-QRM), and the ranking and summarization of the extracted evidence. RESULTS Unlike previous works, the proposed framework systematically integrates the echelons of biomedical literature curation by including methods for searching queries, content quality assessments, and ranking and summarization. Using an ensemble approach, our high-impact classifier E-QRM obtained significantly improved accuracy than the existing quality recognition model (1723/1894, 90.97% vs 1462/1894, 77.21%). CONCLUSIONS Our proposed methods and evaluation demonstrate the validity and rigorousness of the results, which can be used in different applications, including evidence-based medicine, precision medicine, and medical education.

Paradoxes of Practice Guidelines, Professional Expertise, and Patient Centeredness: The Medical Care Triangle

2018 ◽  
Vol 76 (4) ◽  
pp. 359-385 ◽  
Author(s):  
L. Michele Issel
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Practice Guidelines ◽  
Health Care Professionals ◽  
Health Care Organizations ◽  
Professional Expertise ◽  
Work Processes ◽  
Patient Centeredness ◽  
Medical Practitioners ◽  
Delivery Of Medical Care

The coexistence of institutionalized evidence-based practice guidelines, professional expertise of medical practitioners, and the patient centeredness approach form a triangle. Each component of this Medical Care Triangle has characteristics that create paradoxes for health care professionals and their patients. The value of a paradox lies in uncovering and utilizing the contradiction to better understand the underlying organizational phenomenon. Method: Following Poole and van de Ven’s (1989) suggested approaches to resolving paradoxes, each paradox of the Medical Care Triangle is defined and analyzed. Results: A total of 10 paradoxes related to practice guidelines, professional expertise, and patient centeredness are revealed. The resolution of each paradox yields insights specific to structuring health care organizations in ways that support the delivery of medical care. Implications: The results renew an emphasis on the centrality of practitioners’ work processes to health care organizations; this has potential benefits for organizations, clinicians/employees, and patients.

scholarly journals Issues of Legal Organization of the Patient-Health Care Professional Relationship

2016 ◽  
Vol 1 (2) ◽  
pp. 451 ◽  
Author(s):  
Inga Kudeikina
Keyword(s):  
Health Care ◽  
Human Rights ◽  
Health Care Professional ◽  
Health Care Professionals ◽  
Fundamental Principle ◽  
Professional Relationship ◽  
Medical Practitioners ◽  
Patient Health ◽  
Human Rights Standards ◽  
Relationship Of

Nowadays increasing attention is paid to the issues of legal organization of the patient-health care professional relationship. One of the issues in this field is the institution of the rights and obligations of the patients and the medical practitioners. Cases when the doctor restricts the rights of the patient while fulfilling his duties or vice versa are rare. Interaction of the scope of rights and obligations of the patients and medical practitioners causes complicated situation. The author believes that solution to such situation is to be found in the human rights standards. The article discusses the issue regarding the grounds, on which the legal relationship of the patient and the health care professional are created, and how they are organized. The issues of the patient-health care professional relationship are viewed from the perspective of the human rights. Rights to life and health form the fundamental principle of the human rights, which is integrated in the national and international legal acts. The aim of the article is to provide insight to the role played by fundamental principle of the human rights, principles in the relationship of the patients and medical practitioners. Analyses show that human rights in relations between patients and health care professionals are absolute.

scholarly journals Social Network Analysis of Intensive Care Unit Health Care Professionals Measured by Wearable Sociometric Badges: Longitudinal Observational Study (Preprint)

2020 ◽  
Author(s):  
Eiji Kawamoto ◽  
Asami Ito-Masui ◽  
Ryo Esumi ◽  
Mami Ito ◽  
Noriko Mizutani ◽  
...  
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Social Network ◽  
Social Network Analysis ◽  
Network Analysis ◽  
Health Care Professionals ◽  
Wearable Sensors ◽  
Interaction Data ◽  
Face To Face

BACKGROUND Use of wearable sensor technology for studying human teamwork behavior is expected to generate a better understanding of the interprofessional interactions between health care professionals. OBJECTIVE We used wearable sociometric sensor badges to study how intensive care unit (ICU) health care professionals interact and are socially connected. METHODS We studied the face-to-face interaction data of 76 healthcare professionals in the ICU at Mie University Hospital collected over 4 weeks via wearable sensors. RESULTS We detail the spatiotemporal distributions of staff members’ inter- and intraprofessional active face-to-face interactions, thereby generating a comprehensive visualization of who met whom, when, where, and for how long in the ICU. Social network analysis of these active interactions, concomitant with centrality measurements, revealed that nurses constitute the core members of the network, while doctors remain in the periphery. CONCLUSIONS Our social network analysis using the comprehensive ICU interaction data obtained by wearable sensors has revealed the leading roles played by nurses within the professional communication network.

Drug-caused deaths in Australian medical practitioners and health-care professionals

Addiction ◽  
2016 ◽  
Vol 112 (3) ◽  
pp. 486-493 ◽  
Author(s):  
Jennifer L. Pilgrim ◽  
Rhyse Dorward ◽  
Olaf H. Drummer
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Medical Practitioners

scholarly journals AB1348-HPR TELEMEDICINE IN RHEUMATOLOGY: ACCEPTANCE BY PATIENTS AND MEDICAL PRACTITIONERS IN GERMANY (TELERHEUMABB) - INTERIM ANALYSIS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1962.2-1962
Author(s):  
F. Muehlensiepen ◽  
W. Marquardt ◽  
J. Knitza ◽  
A. Hueber ◽  
M. Welcker
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Professionals ◽  
Questionnaire Survey ◽  
Quantitative Data ◽  
Daily Practice ◽  
Research Support ◽  
Medical Practitioners ◽  
Study Results ◽  
Doctor Communication

Background:The number of rheumatologists in Germany does not cover the minimum medical need [1]. This implies long journeys and waiting periods for patients in the context of rheumatologists’ consultations. International studies suggest that telemedicine could resolve these issues and support health care professionals in rheumatologic care [2, 3]. So far, comprehensive sustainable approaches are still pending in Germany. By addressing the potential users, TeleRheumaBB investigates whether and how telemedicine can support rheumatologic care in Germany. The study is realized from Oct. 2017 until Jun. 2020.Objectives:The objectives of the study are to evaluate the acceptance and willingness of patients and medical practitioners (MP) to implement telemedicine into rheumatological care as well as to understand how telemedical approaches should be designed to be applied in daily practice.Methods:The study design contains a mixed-methods approach, which combines qualitative and quantitative data. In the qualitative part of the study 28 in-depth interviews and 3 focus groups involving patients, rheumatologists, general practitioners and stakeholders were conducted. The quantitative part of the study comprised a questionnaire survey with rheumatologists (n=48) and referrers (n=444) and a second questionnaire survey with patients (n=734).Results:Qualitative Data:The term “telemedicine” is filled with different meanings. Motives to implement telemedicine into daily practice are patient guidance, information, substantial time savings, desire of a modern practice etc. Reported risks of telemedicine are adverse impacts on the doctor-patient-relationship as well as low benefit with high effort.Quantitative Data:62% of the MPs’ surveyed answered that they would like to use telemedical approaches. 81% of the participants supported doctor-doctor communication via telemedicine. Only 47% of the MPs’ surveyed supported doctor-patients communication via telemedicine. MPs’ state that there are barriers which prevent them from implementing telemedicine (89%). These are among others acquisition of technology, administrative expenses and poor remuneration.53% of the patients surveyed stated that they had heard the term telemedicine before. 30% of the participants answered that they would like to try out telemedicine. 38% answered with “no” and 29% with “do not know”. Further results from the patient survey will be available in June 2020.Conclusion:The study results show high acceptance rates of telemedicine regarding doctor-doctor communication. Doctor-patient communication via telemedicine is less accepted. However, MPs’ are reporting obstacles preventing the implementation of telemedicine in rheumatology. In order to implement telemedicine in rheumatological care comprehensively, adequate conditions must be established in the German health care system.References:[1]Zink A, Braun J, Gromnica-Ihle E, Krause D, Lakomek HJ, Mau W, et al. Memorandum der Deutschen Gesellschaft für Rheumatologie zur Versorgungsqualität in der Rheumatologie – Update 2016. Zeitschrift für Rheumatologie. 2017;76(3):195-207.[2]McDougall J, Ferruci E, Glover J, Fraenkel L (2017) Telerheumatologiy: A Systematic Review. Arthritis Care Res (Hoboken); 69(10):1546-1557.[3]Piga M, Cangemi I, Mathieu A, Cauli A (2017) Telemedicine for patients with rheumatic diseases: Systematic review and proposal for research agenda. Semin Arthritis Rheum 47(1):121-128.Disclosure of Interests:Felix Muehlensiepen Grant/research support from: Novartis, Wenke Marquardt Grant/research support from: Novartis, Johannes Knitza Grant/research support from: Research Grant: Novartis, Axel Hueber Grant/research support from: Novartis, Lilly, Pfizer, EIT Health, EU-IMI, DFG, Universität Erlangen (EFI), Consultant of: Abbvie, BMS, Celgene, Gilead, GSK, Lilly, Novartis, Speakers bureau: GSK, Lilly, Novartis, Martin Welcker Grant/research support from: Abbvie, Novartis, UCB, Hexal, BMS, Lilly, Roche, Celgene, Sanofi, Consultant of: Abbvie, Actelion, Aescu, Amgen, Celgene, Hexal, Janssen, Medac, Novartis, Pfizer, Sanofi, UCB, Speakers bureau: Abbvie, Aescu, Amgen, Biogen, Berlin Chemie, Celgene, GSK, Hexal, Mylan, Novartis, Pfizer, UCB

scholarly journals Understanding of Professional Ethics Among a Sample of Medical Practitioners in Bangladesh

2021 ◽  
Vol 46 (3) ◽  
pp. 168-175
Author(s):  
MU Jahan ◽  
SMM Rahman
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Medical Ethics ◽  
General Practitioners ◽  
Health Care Professionals ◽  
Dhaka City ◽  
Medical Studies ◽  
Ethical Practice ◽  
Medical Practitioners ◽  
Ethical Knowledge

Background: Ethical practice not only protects the rights of patients but is also a safeguard of medical practitioners. But, practicing medical ethics among the Bangladeshi health care professionals are not at a satisfactory level. Objectives: The study was aimed to assess the level of understanding regarding medical ethics among the health care professionals. Methods: A descriptive cross-sectional survey was conducted among registered 400 doctors of tertiary care hospitals and general practitioners in Dhaka City during June 2016 to January 2017. A non-probability sampling method was used for selecting the medical colleges, hospitals, institutions, medical university and general practitioners from the different areas of Dhaka city. A self-administered questionnaire was used for data collection assuring confidentiality and anonymity. Ethical approval was obtained from the National Research Ethics Committee (NREC) of Bangladesh Medical Research Council (BMRC) and from the Institutional Review Board (IRB) of the American University of Sovereign Nations (AUSN). The collected data were analysed through SPSS software, windows, version 21 (SPSS Inc., Chicago, IL, USA) and R programming language. Results: Of the 400 respondents, 68.0% were male. Mean (±SD) age of them was 30 (±6.5) years. About 93.0% respondents had only a MBBS degree and 65.0% were medical officers. About 38.0% respondents have below 5 years of clinical experience. Highest number of respondents got ethical information from book, second highest from lectures and then general text. About 32.0% respondents got ethical knowledge from one source. About 97.0% respondents agreed that medical ethics should be included in both undergraduate and postgraduate medical studies and 90.0% of them know only about theHippocratic Oath. Very few of them knew the Nuremberg Code (16.0%) and Helsinki Declaration (16.0%).Only 27.0% participants said that they never face any ethical problems in their clinical practice. About 75.0% reported that ethical practice is important in workplace. About 35.0% respondents have a very little knowledge and 46.0% have average knowledge on ethical law. Conclusion: Findings of the study indicate that ethical knowledge of the respondents is not satisfactory although they realise that it is important in clinical practice and should include both undergraduate and graduate medical studies. Also need to develop practice in the workplace by law and legislations according to the guidelines of Bangladesh Medical & Dental Council (BMDC) and Bangladesh Medical Association (BMA). Bangladesh Med Res Counc Bull 2020; 46(3): 168-175

A Review of the Three Types of Biomedical Literature and the Systematic Approach to Answer a Drug Information Request

1998 ◽  
Vol 11 (3) ◽  
pp. 148-162 ◽  
Author(s):  
Stephanie Gooch Wright ◽  
Rhonda Lea Lecroy ◽  
Michael G. Kendrach
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Systematic Approach ◽  
Drug Information ◽  
Daily Basis ◽  
Biomedical Literature ◽  
Pharmacy Students ◽  
Information Request ◽  
Primary Literature ◽  
Different Types

The pharmacist is relied upon to provide drug information on a daily basis for patients and health care professionals. Performing drug information tasks requires the ability to efficiently search, critically analyze, and objectively evaluate the biomedical literature. Pharmacists and pharmacy students need to understand the biomedical literature and an organized method to answer drug information questions. Therefore, the tertiary, secondary, and primary literature resources are defined and examples are presented. In addition, the modified systematic approach to answer a drug information request is reviewed. Understanding the different types of literature and applying the systematic approach assists practitioners in efficiently supplying drug information. The purpose of this article is to assist the pharmacist and pharmacy student in determining the strengths and limitations of the various types of literature and applying the systematic approach to a drug information inquiry.

scholarly journals Social Network Analysis of Intensive Care Unit Health Care Professionals Measured by Wearable Sociometric Badges: Longitudinal Observational Study

10.2196/23184 ◽  
2020 ◽  
Vol 22 (12) ◽  
pp. e23184
Author(s):  
Eiji Kawamoto ◽  
Asami Ito-Masui ◽  
Ryo Esumi ◽  
Mami Ito ◽  
Noriko Mizutani ◽  
...  
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Social Network ◽  
Social Network Analysis ◽  
Network Analysis ◽  
Health Care Professionals ◽  
Wearable Sensors ◽  
Interaction Data ◽  
Face To Face

Background Use of wearable sensor technology for studying human teamwork behavior is expected to generate a better understanding of the interprofessional interactions between health care professionals. Objective We used wearable sociometric sensor badges to study how intensive care unit (ICU) health care professionals interact and are socially connected. Methods We studied the face-to-face interaction data of 76 healthcare professionals in the ICU at Mie University Hospital collected over 4 weeks via wearable sensors. Results We detail the spatiotemporal distributions of staff members’ inter- and intraprofessional active face-to-face interactions, thereby generating a comprehensive visualization of who met whom, when, where, and for how long in the ICU. Social network analysis of these active interactions, concomitant with centrality measurements, revealed that nurses constitute the core members of the network, while doctors remain in the periphery. Conclusions Our social network analysis using the comprehensive ICU interaction data obtained by wearable sensors has revealed the leading roles played by nurses within the professional communication network.

scholarly journals Evaluation of a Pediatric Obesity Management Toolkit for Health Care Professionals: A Quasi-Experimental Study

2021 ◽  
Vol 18 (14) ◽  
pp. 7568
Author(s):  
Barkha P. Patel ◽  
Stasia Hadjiyannakis ◽  
Laurie Clark ◽  
Annick Buchholz ◽  
Rebecca Noseworthy ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Self Efficacy ◽  
Pediatric Obesity ◽  
Pediatric Patients ◽  
Critical Role ◽  
Obesity Management ◽  
Content Quality ◽  
Quasi Experimental

Health care professionals (HCPs) play a critical role in helping to address weight-related issues with pediatric patients, yet often feel ill-equipped to discuss/manage this complex and sensitive health issue. Using the five As (“Ask, Assess, Advise, Agree, and Assist”) of Pediatric Obesity Management, we created a series of educational videos and evaluated the content, quality (acceptability, engagement), and impact of these videos on HCPs’ self-efficacy, knowledge, and change in practice when addressing weight-related issues with pediatric patients and their families using questionnaires. HCPs (n = 65) participated in a baseline assessment and 4–6 month follow-up (n = 54). Knowledge and self-efficacy increased post-video for the majority of participants. At follow-up, most HCPs reported a change in their practice attributable to viewing the videos, and their self-efficacy ratings improved over time for the majority of questions asked. Most participants rated aspects of each of the videos highly. Preliminary findings suggest that an evidence-based educational toolkit of videos, based on the 5As framework, may lead to changes in self-reported behaviors among HCPs, and sustained improvements in their self-efficacy in addressing weight-related topics with children and their families. (Clinical Trial Number NCT04126291).

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