scholarly journals Covidom, a Telesurveillance Solution for Home Monitoring Patients With COVID-19 (Preprint)

2020 ◽  
Author(s):  
Youri Yordanov ◽  
Agnes Dechartres ◽  
Xavier Lescure ◽  
Caroline Apra ◽  
Pascaline Villie ◽  
...  
Keyword(s):  
Health Care Professionals ◽  
Web Application ◽  
Large Scale ◽  
Home Monitoring ◽  
Control Center ◽  
Regional Control ◽  
Global Pandemic ◽  
Number Of Patients ◽  
Paris Area ◽  
Innovative Solution

UNSTRUCTURED In a matter of months, COVID-19 has escalated from a cluster of cases in Wuhan, China, to a global pandemic. As the number of patients with COVID-19 grew, solutions for the home monitoring of infected patients became critical. This viewpoint presents a telesurveillance solution—Covidom—deployed in the greater Paris area to monitor patients with COVID-19 in their homes. The system was rapidly developed and is being used on a large scale with more than 65,000 registered patients to date. The Covidom solution combines an easy-to-use and free web application for patients (through which patients fill out short questionnaires on their health status) with a regional control center that monitors and manages alerts (triggered by questionnaire responses) from patients whose health may be deteriorating. This innovative solution could alleviate the burden of health care professionals and systems while allowing for rapid response when patients trigger an alert.

scholarly journals Covidom, a Telesurveillance Solution for Home Monitoring Patients With COVID-19

10.2196/20748 ◽  
2020 ◽  
Vol 22 (10) ◽  
pp. e20748
Author(s):  
Youri Yordanov ◽  
Agnes Dechartres ◽  
Xavier Lescure ◽  
Caroline Apra ◽  
Pascaline Villie ◽  
...  
Keyword(s):  
Health Care Professionals ◽  
Web Application ◽  
Large Scale ◽  
Home Monitoring ◽  
Control Center ◽  
Regional Control ◽  
Global Pandemic ◽  
Number Of Patients ◽  
Paris Area ◽  
Innovative Solution

In a matter of months, COVID-19 has escalated from a cluster of cases in Wuhan, China, to a global pandemic. As the number of patients with COVID-19 grew, solutions for the home monitoring of infected patients became critical. This viewpoint presents a telesurveillance solution—Covidom—deployed in the greater Paris area to monitor patients with COVID-19 in their homes. The system was rapidly developed and is being used on a large scale with more than 65,000 registered patients to date. The Covidom solution combines an easy-to-use and free web application for patients (through which patients fill out short questionnaires on their health status) with a regional control center that monitors and manages alerts (triggered by questionnaire responses) from patients whose health may be deteriorating. This innovative solution could alleviate the burden of health care professionals and systems while allowing for rapid response when patients trigger an alert.

scholarly journals The epidemiology and therapeutic options for the COVID-19

2020 ◽  
Vol 3 (2) ◽  
pp. 71-84 ◽  
Author(s):  
Jingwei Li ◽  
Jun Shao ◽  
Chengdi Wang ◽  
Weimin Li
Keyword(s):  
Middle East ◽  
Severe Acute Respiratory Syndrome ◽  
Clinical Features ◽  
Large Scale ◽  
First Century ◽  
Therapeutic Options ◽  
Global Pandemic ◽  
Number Of Patients ◽  
The World ◽  
Great Harm

Abstract An outbreak of coronavirus disease 2019 (COVID-19), a disease caused by a novel pneumonia virus, has affected over 200 countries and regions worldwide. With the increasing number of patients and deaths, WHO have declared it as a global pandemic currently, indicating a third large-scale epidemic coronavirus has appeared since the emergence of severe acute respiratory syndrome coronavirus (SARS) and Middle-East respiratory syndrome (MERS) in the twenty-first century. Considering the great harm it has caused, researchers throughout the world have been chasing to exploit the pathophysiology, characteristics, and potential remedies for COVID-19 to better battle the outbreak. Therefore, the current study revisits advances of the virology, epidemiology, clinical features, therapeutic options, and prevention of COVID-19. The features of asymptomatic carriers are also been explored.

A New Large Scale Technic for Quantitative Recovery of Enteroviruses by Adsorption on Suspended Glass Powder. Application to Surface and Drinking Waters of the Paris Area

1982 ◽  
Vol 14 (4-5) ◽  
pp. 281-290
Author(s):  
Ph Vilaginès ◽  
B Sarrette ◽  
C Danglot ◽  
R Vilaginès
Keyword(s):  
River Water ◽  
Surface Waters ◽  
Large Scale ◽  
Glass Powder ◽  
Virus Concentration ◽  
Drinking Waters ◽  
Paris Area ◽  
New Apparatus ◽  
Quantitative Recovery

The aim of this work is to describe a new and inexpensive glass powder apparatus allowing virus concentration from 500 1 sample of water (10). Its efficiency was determined by analysis of drinking and surface waters preinoculated by Poliovirus. The detection of viruses from river water is compared when 500 1 (new apparatus) or 10 1 (preceeding apparatus) (7) are processed. The proposed new 500 1 apparatus allowed the recuperation of viruses in 100 % of the analysed samples the 10 1 one allowing their recuperation in only 50 % samples. This method was applied to the virus determination in the surface and drinking waters of the Paris area.

scholarly journals Leadership assumptions on implementation of patient involvement methods

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kathrine Håland Jeppesen ◽  
Kirsten Frederiksen ◽  
Marianne Johansson Joergensen ◽  
Kirsten Beedholm
Keyword(s):  
Health Care ◽  
Organizational Learning ◽  
Health Care Professionals ◽  
Large Scale ◽  
Patient Involvement ◽  
Hospital Setting ◽  
Implementation Process ◽  
University Hospital ◽  
Structured Interviews ◽  
Implementation Processes

Abstract Background From 2014 to 17, a large-scale project, ‘The User-involving Hospital’, was implemented at a Danish university hospital. Research highlights leadership as crucial for the outcome of change processes in general and for implementation processes in particular. According to the theory on organizational learning by Agyris and Schön, successful change requires organizational learning. Argyris and Schön consider that the assumptions of involved participants play an important role in organizational learning and processes. The purpose was to explore leaders’ assumptions concerning implementation of patient involvement methods in a hospital setting. Methods Qualitative explorative interview study with the six top leaders in the implementation project. The semi-structured interviews were conducted and analyzed in accordance with Kvale and Brinkmanns’ seven stages of interview research. Result The main leadership assumptions on what is needed in the implementation process are in line with the perceived elements in organizational learning according to the theory of Argyris and Schön. Hence, they argued that implementation of patient involvement requires a culture change among health care professionals. Two aspects on how to obtain success in the implementation process were identified based on leadership assumptions: “The health care professionals’ roles in the implementation process” and “The leaders’ own roles in the implementation process”. Conclusion The top leaders considered implementation of patient involvement a change process that necessitates a change in culture with health care professionals as crucial actors. Furthermore, the top leaders considered themselves important facilitators of this implementation process.

Experience of an Interdisciplinary Pediatric Pain Service

PEDIATRICS ◽  
1991 ◽  
Vol 88 (6) ◽  
pp. 1226-1232
Author(s):  
Barbara S. Shapiro ◽  
David E. Cohen ◽  
Kenneth W. Covelman ◽  
Carol J. Howe ◽  
Sam M. Scott
Keyword(s):  
Sickle Cell Disease ◽  
Patient Care ◽  
Sickle Cell ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Direct Patient Care ◽  
Team Approach ◽  
Cell Disease ◽  
Number Of Patients ◽  
Physician Time

This article is a report of our experience with an interdisciplinary pain service in a large tertiary care pediatric hospital. During the first 2 years of operation, we received 869 consultations and referrals from more than 19 hospital divisions. Postoperative pain was the most frequent reason for consultation (56% of patients). Patients with pain related to cancer and sickle cell disease comprised 25% of the consultations. The remaining patients had a wide variety of primary diagnoses and causes of pain. We calculated the time spent by pain service physicians in direct patient care. The majority (63%) of physician time was spent with a small number of patients (17%). Most of these patients had pain that was unrelated to surgery, cancer, or sickle cell disease, and many posed dilemmas in diagnosis and treatment. Physician time was correlated directly to the use of psychologic and physical therapies for the pain, involving multiple team members. This experience supports the demand for an interdisciplinary pain service in a tertiary care children's hospital. A significant amount of physician time is necessary to provide patient care and to maintain a team approach, however, and pediatricians and other health care professionals who aim to implement such services should be cognizant of the time required.

Even if politicians deal, Lebanon faces a bleak future

2021 ◽  
Keyword(s):  
Foreign Aid ◽  
Rural Areas ◽  
Large Scale ◽  
Economic Reforms ◽  
Financial Strain ◽  
Economic Conditions ◽  
Medium Term ◽  
Content Type ◽  
Global Pandemic ◽  
Food Shortages

Significance The audit and wider structural economic reforms are preconditions for urgently needed foreign aid. Economic conditions in Lebanon are still worsening, with power cuts, food shortages and rising poverty. Impacts A new government would allow reform planning to resume and temporarily stall the decline of the currency. The easing of the global pandemic will somewhat reduce the financial strain, as Lebanon reopens its economy. Soaring poverty rates could provoke large-scale ‘bread riots’ in the coming months. Further devaluation of the currency will make poor Lebanese more dependent on sectarian protection and strengthen patronage. If the situation worsens, sectarian rural areas could revert to warlordism in the medium term.

Paperometer: A Low-Cost Incentive Spirometer

2020 ◽  
Author(s):  
Shonit Nair Sharma ◽  
Devrina Chidambaram ◽  
Gianna Mizzi ◽  
Daniel Rosen ◽  
Kristin Slaughter ◽  
...  
Keyword(s):  
Lung Function ◽  
Medical Devices ◽  
Low Cost ◽  
Environmental Friendliness ◽  
Global Pandemic ◽  
Innovative Solution ◽  
Repeated Use ◽  
Functional Prototype ◽  
The Cost ◽  
Respiratory Rehabilitation

Abstract As a preemptive response to the widespread need for respiratory medical devices developing in the wake of the COVID-19 pandemic, we propose a low-cost incentive spirometer for respiratory rehabilitation in patients with reduced lung function. An incentive spirometer manufactured entirely out of recyclable material, termed “Paperometer,” aims to address the multifaced problem of medical device inaccessibility: high cost, lack of user- or environmental-friendliness, and unavailability to those who need them the most. Operating in accordance with governing physical formulae including Ohm’s law and the Hagen-Poiseuille equation, Paperometer is intended to improve the user’s lung function through repeated use of the device, which facilitates slow, deep breaths of air. Several prototypes were created based on a list of design criteria established through background research and stakeholder interviews. From four initial prototypes, all created predominantly from simple foldable geometries, one design was selected for further iteration. The most promising functional prototype was crafted from recyclable plastic and paper folded into various shapes including a box, tube, and pinwheel. The Paperometer concept stands as an innovative solution to reduce the cost and environmental burden of meeting the demand for medical devices. Once validated, the device may serve as an important tool in combating the ongoing global pandemic.

scholarly journals Large-scale targeted sequencing identifies risk genes for neurodevelopmental disorders

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Tianyun Wang ◽  
◽  
Kendra Hoekzema ◽  
Davide Vecchio ◽  
Huidan Wu ◽  
...  
Keyword(s):  
Neurodevelopmental Disorders ◽  
Large Scale ◽  
De Novo ◽  
Targeted Sequencing ◽  
Published Data ◽  
De Novo Mutations ◽  
Risk Genes ◽  
Mutation Burden ◽  
Number Of Patients ◽  
Significant Burden

Abstract Most genes associated with neurodevelopmental disorders (NDDs) were identified with an excess of de novo mutations (DNMs) but the significance in case–control mutation burden analysis is unestablished. Here, we sequence 63 genes in 16,294 NDD cases and an additional 62 genes in 6,211 NDD cases. By combining these with published data, we assess a total of 125 genes in over 16,000 NDD cases and compare the mutation burden to nonpsychiatric controls from ExAC. We identify 48 genes (25 newly reported) showing significant burden of ultra-rare (MAF < 0.01%) gene-disruptive mutations (FDR 5%), six of which reach family-wise error rate (FWER) significance (p < 1.25E−06). Among these 125 targeted genes, we also reevaluate DNM excess in 17,426 NDD trios with 6,499 new autism trios. We identify 90 genes enriched for DNMs (FDR 5%; e.g., GABRG2 and UIMC1); of which, 61 reach FWER significance (p < 3.64E−07; e.g., CASZ1). In addition to doubling the number of patients for many NDD risk genes, we present phenotype–genotype correlations for seven risk genes (CTCF, HNRNPU, KCNQ3, ZBTB18, TCF12, SPEN, and LEO1) based on this large-scale targeted sequencing effort.

scholarly journals Oral Tobaccco and Mortality in India

2016 ◽  
Vol 7 ◽  
pp. IJCM.S25889 ◽  
Author(s):  
Priya Mohan ◽  
Harry A. Lando
Keyword(s):  
Tobacco Control ◽  
Health Care Professionals ◽  
Large Scale ◽  
Control Strategies ◽  
Control Policy ◽  
Control Measures ◽  
Educational Institutions ◽  
Regional Studies ◽  
Gender And Education ◽  
Indian Context

This comprehensive review includes large-scale pan-India surveys and regional studies. Every aspect of smokeless tobacco, including variations in social, economic, demographic, gender, and education stratifiers, is presented. This evidence-based presentation thereby provides insight not only to assess the burden but can serve as a base, leading to the development and encouragement of research in closing the existing gaps in knowledge. It can also provide a track to formulate tobacco control strategies as well as to reinforce and potentially guide tobacco control policy aimed at addressing the tailored needs in the Indian context. The recommendations expand the tobacco control spectrum and are the first of their kind in the literature to focus on cessation programs as a paramedical subject to draw the attention of not only policymakers but also to integrate medical and dental educational institutions, health care professionals, and tobacco users to synergistically develop successful tobacco control measures.

scholarly journals Commonest modes of presentation of bone and soft tissue tumors at sarcoma services of A Tertiary Care Hospital of KPK.

2020 ◽  
Vol 27 (12) ◽  
pp. 2744-2748
Author(s):  
Muhammad Ibrahim ◽  
Zeeshan Khan ◽  
Muhammad Saeed ◽  
Israr Ahmad ◽  
Salik Kashif ◽  
...  
Keyword(s):  
Health Care Professionals ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Signs And Symptoms ◽  
Soft Tissue Tumors ◽  
Care Hospital ◽  
Duration Of Symptoms ◽  
Mode Of Presentation ◽  
Number Of Patients ◽  
Delays In Diagnosis

Objectives: The aim of this study is to assess the commonest mode of presentation at our sarcoma unit and the duration from onset of symptoms till presentation. Study Design: Retrospectively study. Setting: Sarcoma Unit of Hayatabad Medical Complex, Peshawar. Period: June 2016 to December 2019. Material & Methods: Two hundred and eighty two patients were included in this study of which 172 patients were male and 110 were female. Sample size was calculated through non-probability consecutive sampling technique. Results: Average age of patients presenting to us was 30.2years (±18.5) ranging from 3years to 83years. Highest numbers of patients fell into the age group category of 11-20years i.e. 94 (33.33%). The average duration of symptoms among our patients was 19.6 months (±26.09) ranging from 0.1months (3 days) to 168 months (14years). Highest number of patients fell into the 7months-12months category i.e. 86 patients (30.5%). The commonest mode of presentation among our patients was painful lump i.e. 128(45.3%) while patients presenting with painless lump were 57(20.2%) and those presenting with only pain were 28(9.9%). Conclusion: The study concluded that there is a need of greater awareness amount general population and health care professionals regarding red flag signs and symptoms in order to avoid the delays in diagnosis which may leads to poor prognosis.

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