Development and testing of ‘ExoDont’ - an innovative app for postoperative care of patients after tooth extraction (Preprint)

2021 ◽  
Author(s):  
Meenakshi Krishna ◽  
Deborah Sybil ◽  
Priyanshu Kumar Shrivastava ◽  
Shubhangi Premchandani ◽  
Himanshu Kumar ◽  
...  

BACKGROUND Post-operative period is crucial for the initiation of healing and prevention of complications after any surgical procedure. Due to the factors such as compliance, comprehension, retention of instructions, and other unaccounted factors, the objectives of post-operative care become unsuccessful at times. Therefore an android-based mHealth app “ExoDont” was developed to ensure a smooth post-operative period for the patients after a dental extraction. “ExoDont” app delivers reminders for post-operative instructions and drug intake at defined intervals thus fostering self-reliance in patients for their prescribed dose of medication. OBJECTIVE To design, develop and validate “ExoDont” – an innovative software application for improved adherence to postoperative instructions after tooth extraction. METHODS Post-operative treatment protocol was developed by a team of oral and maxillofacial surgeons and general dentists, following which the clinical and technological requirements of the app were determined along with the software engineers, graphic designers and applications architect in the team. “ExoDont was developed to provide timely reminders for medication and postoperative care. The app was field-tested and validated using the uMARS scale. RESULTS The “ExoDont” software design was divided into three-level architecture comprising User Interface Application, Logical Layer, and Database layer. The software architecture consists of an android-based “ExoDont” app for patients and a web version of the Admin panel. The testing and validation of the app demonstrated the highest mean score of 4.6(0.5)for Perceived Impact and the lowest mean score of 3.5(0.8)for Engagement of the “ExoDont” app. CONCLUSIONS The testing and validation of the app support the usability, functionality, and impact of the app on the users. “ExoDont” app has been designed, keeping the welfare of patients in view, in a user-friendly manner that will help patients adhere to the prescribed drug regimen and ensure easy and efficient dissemination of post-operative instructions. It can help play an instrumental role in fostering compliance within the patients and significantly decrease the complication rate after a dental extraction.

2021 ◽  
pp. 1-27
Author(s):  
Elizabeth J. Thompson ◽  
Henry P. Foote ◽  
Caitlin E. King ◽  
Sabarish Srinivasan ◽  
Elizabeth C. Ciociola ◽  
...  

Abstract Background: Targeted drug development efforts in patients with CHD are needed to standardise care, improve outcomes, and limit adverse events in the post-operative period. To identify major gaps in knowledge that can be addressed by drug development efforts and provide a rationale for current clinical practice, this review evaluates the evidence behind the most common medication classes used in the post-operative care of children with CHD undergoing cardiac surgery with cardiopulmonary bypass. Methods: We systematically searched PubMed and EMBASE from 2000 to 2019 using a controlled vocabulary and keywords related to diuretics, vasoactives, sedatives, analgesics, pulmonary vasodilators, coagulation system medications, antiarrhythmics, steroids, and other endocrine drugs. We included studies of drugs given post-operatively to children with CHD undergoing repair or palliation with cardiopulmonary bypass. Results: We identified a total of 127 studies with 51,573 total children across medication classes. Most studies were retrospective cohorts at single centres. There is significant age- and disease-related variability in drug disposition, efficacy, and safety. Conclusion: In this study, we discovered major gaps in knowledge for each medication class and identified areas for future research. Advances in data collection through electronic health records, novel trial methods, and collaboration can aid drug development efforts in standardising care, improving outcomes, and limiting adverse events in the post-operative period.


2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Abdullatif Musa ◽  
Ramadan Arfa ◽  
Adel Agina

The solid oxide fuel cell (SOFC) is considered extremely suitable for electrical power plant application. Both high temperature (HT) and intermediate temperature (IT) SOFC performances are investigated using models which are built in Aspen customer modeller. Moreover, this paper introduces a new simulation software, called Al-Nour V.1.0-2012 software application. The interface of Al-Nour V.1.0-2012 software was mainly implemented based on the educational theory of User’s Split Attention, that is; the entire software works with only one screen for all operations without any scrolling (user-friendly interface). This application reflects the fact that Al-Nour software does not require the user to have any previous training. The performance of HT-SOFC and IT-SOFC models is evaluated and compared using both software applications . The simulation results show that, the cell voltage value increases by raising the operating pressure, operating temperature, and hydrogen partial pressure. The electrical power output value from the SOFC is increased simultaneously by increasing the current density . Furthermore, the IT-SOFC has a higher cell voltage than the HT-SOFC.


2020 ◽  
Vol 10 (40) ◽  
pp. 117-122
Author(s):  
Nicoleta Dumitrescu ◽  
Codrut Sarafoleanu ◽  
Bogdan Mihail Cobzeanu

AbstractBACKGROUND. Starting from the European and American guidelines regarding sedation during gastrointestinal investigations and continuing with the American Society of Anesthesiologists (ASA) recommendations, we have developed a software that helps the ENT specialist to decide whether the patient can undergo a moderate sedation in the operating room, or in the outpatient office, during the drug-induced sleep endoscopy.MATERIAL AND METHODS. The application is written in C#, using the. NET Framework, and is available for the Windows operating system. The application has a very simple and user-friendly interface, and a bare-bones implementation, focusing strictly on the decision-making process.RESULTS. The application involves the information obtained from patient history, clinical examination and polysomnography. After filling all the patient’s data, it will show the result that can be one of the following: ”treatment can be ambulatory”, “treatment should be done in the hospital” or “treatment is not recommended”.CONCLUSION. The decision-making software application may substitute the evaluation of the anaesthesiologist during drug-induced sleep endoscopy in certain conditions.


2021 ◽  
Vol 13 (2) ◽  
pp. 179-191
Author(s):  
Anna Marina ◽  
Warsidi ◽  
Sentot Imam Wahjono ◽  
Sabri Balafif ◽  
Tri Kurniawati

This study aims to determine the interest of Islamic hospitals in East Java in choosing the sharia sofware application “SI AISAH” from the Sharia Accounting Information System Service Centre (PLJSIAS) University of Muhammadiyah Surabaya. This research is a quantitative research using Statistical Package for the Social Sciences Software IBM SPSS version 23. The variables used ini this study are: Sharia, User Safety, Prices, and User Friendly. The population in this study were the leader and employees of Islamic hospital in East Java  who were involved with the use of this sofware. Sampling using random sampling tehnique, with a total sample of 105 respondents. The results of the analysis show that the factors that influence the decision of Islamic hospitals in East Java to choose the “SI AISAH” software applicatin from PLJSIAS UMSurabaya are: Sharia (X1), User Safety (X2), Prices (X3), and User Friendly (X4). These four factors influence the decision of Islamic hospitals in East Java in choosing the “SI AISAH” software application only 69,9%, while the remaining 30,1% in influenced by other factor, and the most significants factor is the sharia factor (X1).


2021 ◽  
Vol 8 (3) ◽  
pp. 143
Author(s):  
ShadiaAbdel-Hameed Elsayed ◽  
YaserAbdulaziz M. Alsahafi ◽  
AlbraaBadr Alolayan ◽  
Wejdan Alraddadi ◽  
Amna Alamri ◽  
...  

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Cristian Sosa Vera ◽  
Pablo Andres

A user-friendly HTML-based open-source software has been developed for structural shielding design of medical X-ray imaging facilities. Based on values published by the NCRP Report N° 147 the software allows thickness calculations for different materials used in conventional X-ray rooms, mammography rooms and computed tomography rooms, diminishing errors resulting from the use of curves. The software focuses on the optimization principle by considering workload distributions instead of applying all the workload at a single high operating potential. The input data can be those recommended by the NCRP Report N° 147 or, if the facility has its own data, they can be used instead. With the implemented methodology, the code validation was performed by comparison of the results with a study case provided by the Report. The software application is available in two languages (English and Spanish) and provides the accuracy of the method presented, as well as assisting the physicist in shielding computations in a user-friendly manner. This software tool is available upon request to the corresponding author.


2017 ◽  
Vol 35 (8_suppl) ◽  
pp. 102-102 ◽  
Author(s):  
Adrienne Nicole Hawkins Baksh ◽  
Armin Shahrokni

102 Background: In attempts to improve outcomes for and survival of geriatric oncology patients, studies have demonstrated the utility of phone communication as a tool for post-operative care. However, very little data is available to determine if this method of care is reaching the most vulnerable patients. The purpose of this study is to compare patient-surgical team phone communication for geriatric cancer patients of higher and lower preoperative functional status. Methods: This is a retrospective review of data from an internal geriatric assessment questionnaire and phone log data as recorded in the EHR at a single institution. Patients were stratified into two groups: those who had at least one recorded postoperative care phone call (PC) and those with no postoperative care phone call (NPC). Quantitative analysis of the data was performed, assessing the correlation between preoperative functional status and patient-surgical service communication in the first 30 postoperative days. Results: NPC group patients were more likely to be amongst the more frail patients, with lower preoperative functional status and a higher level of distress. Specifically, patients in the NPC group were more likely to be dependent for ADLs (61.0% vs. 50.8%, P = 0.013) and IADLs (59.6% VS. 44.7%, P = 0.001), and have a lower Karnofsky Performance Scale score (46.2% vs. 39.1%, P = 0.048) and also reported a higher level of distress (4.5 vs. 4.00, P = 0.001). There was a trend toward more cognitive impairment among the NPC group compared to the PC group (18.2% vs. 12.1%, P = 0.058). Conclusions: Our study highlights a disparity in the utilization of patient-surgical team phone calls as a method for postoperative care for more frail patients. Despite significant number of phone calls initiated during the postoperative period, mainly by surgical nurses, frail and distressed patients are more likely not to participate in a call. Future studies of postoperative phone communication with geriatric oncology patients should assess the utility of this tool for more frail patients and seek measures that will increase access and participation among this population.


2021 ◽  
Author(s):  
Deborah Sybil ◽  
Meenakshi Krishna ◽  
Priyanshu Kumar Shrivastava ◽  
Shradha Singh ◽  
Imran Khan

BACKGROUND Certain factors such as compliance, comprehension, retention of instructions, and other unaccounted elements impact the objectives of post-operative care. It is imperative that patients follow the instructions and prescribed regimen diligently for a smooth and placid healing. Keeping the same principles in view, ExoDont was designed by our team, an android-based mHealth app which ensures a smooth post-operative period for the patients after a dental extraction. Besides providing post-operative instructions at defined intervals, the app also sends out drug reminders as an added advantage over other available conventional modes. OBJECTIVE To compare the compliance rate of individuals with respect to the prescribed regimen, postoperative instructions, and additionally, assess any significant changes in post-operative complications rate under the three categories namely Verbal, Verbal plus Written, and ExoDont group. METHODS The patients after tooth extraction were randomly assigned to the aforementioned groups and a one week follow-up through a phone call was planned to obtain the responses from study participants. The result obtained from the three groups was then statistically analyzed. RESULTS The compliance rate in patients for post-operative instructions and prescribed drug adherence was statistically significant in the group using ExoDont app than in Verbal or Verbal plus Written group. However, the difference in the incidence of postoperative complication rate was not significant among the three groups. CONCLUSIONS As evident from the result, it is anticipated that the ExoDont app will be revolutionary in not only circumventing the unaccounted possibilities of missing the prescribed dose and post-operative instructions but also ensure a smooth post-operative phase and easy recovery for the patients.


2016 ◽  
Vol 15 (01) ◽  
pp. 1650004 ◽  
Author(s):  
David P. Donohue ◽  
Peter M. Murphy

To overcome the problems of managing too much information and curating for the valuable content, DuPont’s research, business, regulatory, manufacturing, legal, and marketing teams increasingly rely on the corporate library’s competitive intelligence (CI) team to keep up with the latest Key Intelligence Topics (KITs) affecting their strategic goals and their decision-making processes. To meet the growing demand for CI news with constrained resources, the library CI team and the software application team designed and built CIntell, a user-friendly collection of technologies and services to harvest, store, curate, and publish secondary CI information. Using exclusively open source technologies (including Weka, Rome, MySQL, Solr), CIntell automatically harvests, filters, de-duplicates, tags, classifies, and stores public and subscribed secondary information in a structured database including news, research publications, patents, government reports, and web information. The CIntell web-based user interface facilitates searching, reviewing, organising, curating, and publishing CI news of interest to a project’s owners. Implementation of CIntell has more than tripled the CI newsletter productivity of the library CI team and reduced the news clutter by more than half compared to using traditional alerting tools and sporadic DIY searching.


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