First National Remote Emergency System for Malignant Hyperthermia (MH-NRES) in China: Protocol for a WeChat applet Design, Development, and Evaluation (Preprint)

2021 ◽  
Author(s):  
Hong Yu ◽  
Lingcan Tan ◽  
Yi Teng ◽  
Zhao Xu ◽  
Kun Xiao ◽  
...  
Keyword(s):  
Malignant Hyperthermia ◽  
Rating Scale ◽  
Early Recognition ◽  
Recovery Period ◽  
Sichuan Province ◽  
Mobile App ◽  
Design Development ◽  
Pilot Testing ◽  
Dna Test ◽  
Emergency System

BACKGROUND Malignant hyperthermia (MH) is a rare life-threatening anesthetic emergency. With respect to the high fatality rate, difficulty in early recognition and the lack of disease-specific drug (i.e., dantrolene) in China, more effort is need to strengthen early diagnosis and effective treatment of MH emergency. Nowadays, mobile health applications (mHealth apps) are changing the way of medical practice, which are an accessible tool for helping anesthesiologists to deal with MH crisis. However, no related mHealth-based emergency system is available now. OBJECTIVE The aim of this study is to outline the methods for a WeChat applet development used to design National Remote Emergency System for Malignant Hyperthermia (MH-NRES) in China, as well as the methods for evaluation of the user experience and perception of the system. METHODS The system adopts client-server architecture, with a custom user interface operating as clients and the back-end system operating as the server. The client-side software was developed using uni-app technology with Vue.js-based framework, which consists of six modules: quick diagnosis, dantrolene mobilization, instruction on dantrolene use, MH treatment, recovery period treatment, and DNA test and Biopsy. The back-end system was developed based on the Spring framework. The system will be evaluated by administrating a modified user version of the Mobile App Rating Scale (uMARS). The pilot testing in Sichuan Province of China and the following evaluation on a national scale are planned. RESULTS The theoretical framework design of this system took a total of 4 months (May-August 2021). The development of the system is planned to take 4 months (September-December 2021). The pilot testing in Sichuan Province is planned to take 2 month and the following evaluation to take 6 months. CONCLUSIONS We have described a novel approach using the WeChat applet to develop the MH-NRES which can help anesthesiologists in China to make rapid diagnosis, effectively management and dantrolene mobilization in real time when MH cases occur, and provide subsequently gene diagnostic services and family counselling. Findings from the evaluation process is expected to suggest that this system is both feasible and welcomed by anesthesiologists.

scholarly journals Design, Development, and Evaluation of an Injury Surveillance App for Cricket: Protocol and Qualitative Study (Preprint)

2018 ◽  
Author(s):  
Najeebullah Soomro ◽  
Meraj Chhaya ◽  
Mariam Soomro ◽  
Naukhez Asif ◽  
Emily Saurman ◽  
...  
Keyword(s):  
User Satisfaction ◽  
Rating Scale ◽  
Mobile Apps ◽  
Mobile App ◽  
Injury Surveillance ◽  
Surveillance Systems ◽  
Design Development ◽  
Server Side ◽  
Cross Platform ◽  
Injury Reporting

BACKGROUND Injury surveillance and workload monitoring are important aspects of professional sports, including cricket. However, at the community level, there is a dearth of accessible and intelligent surveillance tools. Mobile apps are an accessible tool for monitoring cricket-related injuries at all levels. OBJECTIVE The objective of this paper is to share the novel methods associated with the development of the free TeamDoc app and provide evidence from an evaluation of the user experience and perception of the app regarding its functionality, utility, and design. METHODS TeamDoc mobile app for Android and Apple smartphones was developed using 3 languages: C++, Qt Modeling Language, and JavaScript. For the server-side connectivity, Hypertext Preprocessor (PHP) was used as it is a commonly used cross-platform language. PHP includes components that interact with popular database management systems, allowing for secure interaction with databases on a server level. The app was evaluated by administrating a modified user version of the Mobile App Rating Scale (uMARS; maximum score: 5). RESULTS TeamDoc is the first complementary, standalone mobile app that records cricket injuries through a smartphone. It can also record cricketing workloads, which is a known risk factor for injury. The app can be used without the need for supplementary computer devices for synchronization. The uMARS scores showed user satisfaction (overall mean score 3.6 [SD 0.5]), which demonstrates its acceptability by cricketers. CONCLUSIONS Electronic injury surveillance systems have been shown to improve data collection during competitive sports. Therefore, TeamDoc may assist in improving injury reporting and may also act as a monitoring system for coaching staff to adjust individual training workloads. The methods described in this paper provide a template for researchers to develop similar apps for other sports.

scholarly journals Evaluating the quality and safety of health-related apps and e-tools: Adapting the Mobile App Rating Scale and developing a quality assurance protocol

2021 ◽  
pp. 100379
Author(s):  
Anna E. Roberts ◽  
Tracey A. Davenport ◽  
Toby Wong ◽  
Hyei-Won Moon ◽  
Ian B. Hickie ◽  
...  
Keyword(s):  
Quality Assurance ◽  
Rating Scale ◽  
Mobile App ◽  
Quality And Safety ◽  
Health Related

scholarly journals Moving beyond Limitations: Designing the Helpdys App for Children with Dyslexia in Rural Areas

2021 ◽  
Vol 13 (13) ◽  
pp. 7081
Author(s):  
Andres Larco ◽  
Jorge Carrillo ◽  
Nelson Chicaiza ◽  
Cesar Yanez ◽  
Sergio Luján-Mora
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Rating Scale ◽  
Language Disorder ◽  
Educational Games ◽  
Mobile App ◽  
Literacy Skills ◽  
Full Potential ◽  
Positive Contribution ◽  
Self Confidence

Dyslexia is a relatively common language disorder which is generally ignored in rural communities. It hinders children’s learning processes and, in some cases, is the cause of dropouts or violence in schools. The present work strives to create a web and mobile app as a preliminary step towards the diagnosis and treatment of dyslexic children. Apps providing didactic educational games and activities improve literacy skills for students with reading disabilities. The current work incorporates user experience and prototyping to fulfill app requirements. The authors evaluated the apps with the Mobile App Rating Scale (MARS) tool to assess engagement, functionality, aesthetics, and information. The app’s improvements were immediately implemented and tested in the “Escuela Linea Equinoccial” (Ecuador) school, proving its utility for future use in the education system. The app can be a valuable tool for children with dyslexia to progress successfully through school, raising their self-confidence and, thereby, helping them reach their full potential as adults able to make a positive contribution to society.

A hand exercise mobile app for people with rheumatoid arthritis in Turkey: design, development and usability study

2021 ◽  
Author(s):  
Eda Tonga ◽  
Esther Williamson ◽  
Cynthia Srikesavan ◽  
Tuğçe Özen ◽  
Fatih Sarıtaş ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Mobile App ◽  
Usability Study ◽  
Design Development

scholarly journals A Remarkable Coexistence of Systemic Capillary Leak Syndrome and Diabetes in an 11-Year-Old Boy: A Case Report and Review of the Literature

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Aysun Ata ◽  
Samim Özen ◽  
Damla Gökşen ◽  
Neslihan Edeer Karaca ◽  
Güzide Aksu ◽  
...  
Keyword(s):  
Urine Analysis ◽  
Early Recognition ◽  
Recovery Period ◽  
Capillary Leak Syndrome ◽  
Ivig Treatment ◽  
Acid Decarboxylase ◽  
Diabetic Patients ◽  
Healthy Children ◽  
Capillary Leak ◽  
Systemic Capillary Leak Syndrome

Systemic capillary leak syndrome (ISCLS) is a rare disease characterized by unexplained reversible capillary hyperpermeability followed by hypoperfusion, hemoconcentration, and either hypoalbuminemia or total hypoproteinemia. An 11-year-old boy was admitted with vomiting, generalized edema, and hyperglycemia, which was preceded by 5 days of coryzal symptoms, lethargy, and oral aft, without fever. On physical examination, he had tachycardia and hypotension, with severe generalized systemic nonitchy edema, and the laboratory tests supported the conclusion that he had severe hemoconcentration with hemoglobin: 184 g/L, hematocrit: 51.3 %, urea: 20 mmol/L, blood glucose: 11.1 mmol/L, and albumin: 19 gr/L, with normal urine analysis. On the fourth day, the patient was diagnosed with ISCLS, by ruling out other causes of shock and hypoalbuminemia. Intravenous immunoglobulin (IVIG) treatment regimen was administered on two consecutive days (day five and day six). His edema decreased on the fifth day, and the patient was deemed clinically well. There was no compartment syndrome, rhabdomyolysis, or pulmonary edema in the recovery period. However, respiratory virus panel PCR was positive for respiratory syncytial virus (RSV) and enterovirus, which were thought to be the triggering cause of ISCLS. For the differential diagnosis of diabetes, his fasting serum glucose was 13.4 mmol/L, simultaneous C-peptide was 0.44 nmol/L, and HbA1c was 64 mmol/mol, and urine ketone was positive. However, antiglutamic acid decarboxylase, anti-insulin antibody, and islet cell antibody were negative. At the last outpatient visit, 22 months after the diagnosis, his insulin dose was still 0.4 IU/kg/day and HbA1c was 40 mmol/mol, and without prophylaxis, there was no ISCLS attack. Conclusion. Early recognition of ISCLS is important for therapeutic awareness, since it is very rare in childhood and occurs usually without any prior provoking factors in healthy children. With the increase in awareness of the disease, knowledge and experiences about pediatric patients may also increase. We think that our case will contribute to the literature since there have been no pediatric diabetic patients with ISCLS reported.

Consumer Satisfaction Rating Scale: Revised for use in both psychiatric care and social services

2016 ◽  
Vol 44 (6) ◽  
pp. 931-942 ◽  
Author(s):  
Torsten Norlander ◽  
Bo Ivarsson ◽  
Jonny Andersson ◽  
Tommy Nordén
Keyword(s):  
Social Services ◽  
Consumer Satisfaction ◽  
Psychiatric Care ◽  
Rating Scale ◽  
Satisfaction Rating ◽  
Pilot Testing ◽  
Time Points ◽  
Self Rating ◽  
Rating Instrument

The Consumer Satisfaction Rating Scale (ConSat) is a self-rating instrument that was originally designed solely for use with clients receiving psychiatric care. Therefore, it was decided within the frame of the Swedish Quality Star National Psychiatric Register to develop a revised instrument (i.e., the ConSat–R). We investigated whether or not the ConSat–R could replace the ConSat for use for provision of both psychiatric care and social services. After pilot testing and further revisions, we tested the instrument at 2 time-points, with an interval of from 1 to 3 weeks. Participants were 53 clients (26 men, 27 women) in 11 different teams in middle and southwest Sweden. Results showed a high correlation between the ConSat and the ConSat–R and high or acceptable correlations even at the level of the items. The reliability was examined with regard to homogeneity, which showed high values for the ConSat–R. The conclusion was that the ConSat–R may be used with clients receiving both psychiatric care and social services.

scholarly journals A Mobile App for Longterm Monitoring of Narcolepsy Symptoms: Design, Development, and Evaluation

10.2196/14939 ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. e14939
Author(s):  
Laury Quaedackers ◽  
Jan De Wit ◽  
Sigrid Pillen ◽  
Merel Van Gilst ◽  
Nikolaos Batalas ◽  
...  
Keyword(s):  
Interaction Design ◽  
Daytime Sleepiness ◽  
Patient Reported Outcome ◽  
Mobile App ◽  
Design Development ◽  
Subjective Burden ◽  
Design Data ◽  
Patient Reported ◽  
Depth Interviews ◽  
Over Time

Background Narcolepsy is a chronic sleep disorder with a broad variety of symptoms. Although narcolepsy is primarily characterized by excessive daytime sleepiness and cataplexy (loss of muscle control triggered by emotions), patients may suffer from hypnagogic hallucinations, sleep paralysis, and fragmented night sleep. However, the spectrum of narcolepsy also includes symptoms not related to sleep, such as cognitive or psychiatric problems. Symptoms vary greatly among patients and day-to-day variance can be considerable. Available narcolepsy questionnaires do not cover the whole symptom spectrum and may not capture symptom variability. Therefore, there is a clinical need for tools to monitor narcolepsy symptoms over time to evaluate their burden and the effect of treatment. Objective This study aimed to describe the design, development, implementation, and evaluation of the Narcolepsy Monitor, a companion app for long-term symptom monitoring in narcolepsy patients. Methods After several iterations during which content, interaction design, data management, and security were critically evaluated, a complete version of the app was built. The Narcolepsy Monitor allows patients to report a broad spectrum of experienced symptoms and rate their severity based on the level of burden that each symptom imposes. The app emphasizes the reporting of changes in relative severity of the symptoms. A total of 7 patients with narcolepsy were recruited and asked to use the app for 30 days. Evaluation was done by using in-depth interviews and user experience questionnaire. Results We designed and developed a final version of the Narcolepsy Monitor after which user evaluation took place. Patients used the app on an average of 45.3 (SD 19.2) days. The app was opened on 35% of those days. Daytime sleepiness was the most dynamic symptom, with a mean number of changes of 5.5 (SD 3.7) per month, in contrast to feelings of anxiety or panic, which was only moved 0.3 (SD 0.7) times per month. Mean symptom scores were highest for daytime sleepiness (1.8 [SD 1.0]), followed by lack of energy (1.6 [SD 1.4]) and often awake at night (1.5 [SD 1.0]). The personal in-depth interviews revealed 3 major themes: (1) reasons to use, (2) usability, and (3) features. Overall, patients appreciated the concept of ranking symptoms on subjective burden and found the app easy to use. Conclusions The Narcolepsy Monitor appears to be a helpful tool to gain more insight into the individual burden of narcolepsy symptoms over time and may serve as a patient-reported outcome measure for this debilitating disorder.

scholarly journals Depression and Deliberate Self-Harm Among Rural Adolescents of Sichuan Province in Western China: A 2-Year Longitudinal Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Shimin Lai ◽  
Chang Su ◽  
Shasha Song ◽  
Mingxia Yan ◽  
Chengmeng Tang ◽  
...  
Keyword(s):  
Social Support ◽  
Influencing Factors ◽  
Rating Scale ◽  
Self Esteem ◽  
Sichuan Province ◽  
Western China ◽  
Rural Adolescents ◽  
Deliberate Self Harm ◽  
Increased Risk ◽  
Self Harm

Objective: To explore the change in the prevalence and association of depression and deliberate self-harm and their common and independent influencing factors among western Chinese rural adolescents.Methods: A total of 2,744 junior and senior high school students from two rural schools in Sichuan Province, China, participated in the baseline survey and were invited to participate in two follow-up surveys. The Center for Epidemiologic Studies-Depression Scale, a deliberate self-harm item, the Social Support Rating Scale, the Rosenberg Self-esteem Scale and the Connor-Davidson Resilience Scale were administered. A bivariate four-level logistic regression model was used for analysis.Results: The prevalence of depression and deliberate self-harm were 39.6 and 21.2%, respectively. Regular physical exercise, a good relationship with parents, high resilience, and high self-esteem were common protective factors for both depression and deliberate self-harm. Feeling disliked by teachers was a common risk factor for both. Being female, having a mother who emigrated as a migrant worker before the student was 3 years old, feeling disliked by classmates and having a poor family economic status were associated only with an increased risk of depression. Participants with medium social support were less likely to report deliberate self-harm than those with low or high support. Depression and deliberate self-harm were clustered at the class level.Conclusions: The comorbidity of depression and deliberate self-harm in rural adolescents should be given ample attention. Interventions should consider the class clustering of depression and deliberate self-harm and their common and unique influencing factors.

scholarly journals The Effects of Gamification and Oral Self-Care on Oral Hygiene in Children: Systematic Search in App Stores and Evaluation of Apps (Preprint)

2019 ◽  
Author(s):  
Nino Fijačko ◽  
Lucija Gosak ◽  
Leona Cilar ◽  
Alenka Novšak ◽  
Ruth Masterson Creber ◽  
...  
Keyword(s):  
Public Health ◽  
Behavior Change ◽  
Oral Hygiene ◽  
Rating Scale ◽  
Self Care ◽  
Public Health Problem ◽  
Mobile App ◽  
Evidence Based ◽  
Behavior Change Techniques ◽  
Evidence Based Dentistry

BACKGROUND Poor oral hygiene is a great public health problem worldwide. Oral health care education is a public health priority as the maintenance of oral hygiene is integral to overall health. Maintaining optimal oral hygiene among children is challenging and can be supported by using relevant motivational approaches. OBJECTIVE The primary aim of this study was to identify mobile smartphone apps that include gamification features focused on motivating children to learn, perform, and maintain optimal oral hygiene. METHODS We searched six online app stores using four search terms (“oral hygiene game,” “oral hygiene gamification,” “oral hygiene brush game,” and “oral hygiene brush gamification”). We identified gamification features, identified whether apps were consistent with evidence-based dentistry, performed a quality appraisal with the Mobile App Rating Scale user version (uMARS), and quantified behavior scores (Behavior Change score, uMARS score, and Coventry, Aberdeen, and London-Refined [CALO-RE] score) using three different instruments that measure behavior change. RESULTS Of 612 potentially relevant apps included in the analysis, 17 met the inclusion criteria. On average, apps included 6.87 (SD 4.18) out of 31 possible gamification features. The most frequently used gamification features were time pressure (16/17, 94%), virtual characters (14/17, 82%), and fantasy (13/17, 76%). The most common oral hygiene evidence-based recommendation was brushing time (2-3 minutes), which was identified in 94% (16/17) of apps. The overall mean uMARS score for app quality was high (4.30, SD 0.36), with good mean subjective quality (3.79, SD 0.71) and perceived impact (3.58, SD 0.44). Sufficient behavior change techniques based on three taxonomies were detected in each app. CONCLUSIONS The majority of the analyzed oral hygiene apps included gamification features and behavior change techniques to perform and maintain oral hygiene in children. Overall, the apps contained some educational content consistent with evidence-based dentistry and high-quality background for oral self-care in children; however, there is scope for improvement.

scholarly journals Smartphone Apps Targeting Physical Activity in People With Rheumatoid Arthritis: Systematic Quality Appraisal and Content Analysis

10.2196/18495 ◽  
2020 ◽  
Vol 8 (7) ◽  
pp. e18495 ◽  
Author(s):  
Lindsay M Bearne ◽  
Mandeep Sekhon ◽  
Rebecca Grainger ◽  
Anthony La ◽  
Mehrdad Shamali ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Physical Activity ◽  
Rating Scale ◽  
Mobile App ◽  
Information Support ◽  
World Health ◽  
Smartphone Apps ◽  
High Quality ◽  
App Store ◽  
Google Play

Background Rheumatoid arthritis (RA) is a disabling, inflammatory joint condition affecting 0.5%-1% of the global population. Physical activity (PA) and exercise are recommended for people with RA, but uptake and adherence tend to be low. Smartphone apps could assist people with RA to achieve PA recommendations. However, it is not known whether high quality, evidence-informed PA apps that include behavior change techniques (BCTs) previously identified as effective for PA adherence are available for people with RA. Objective This study aims to systematically identify apps that include goals to facilitate PA for adults with RA and assess app quality and content for the inclusion of relevant BCTs against recommendations for cardiorespiratory, resistance, flexibility, and neuromotor PA and exercise. Methods A systematic search of the Apple App Store and Google Play Store in the United Kingdom was conducted to identify English language apps that promote PA for adults with RA. Two researchers independently assessed app quality (mobile app rating scale [MARS]; range 0-5) and content (BCT Taxonomy version 1, World Health Organization, the American College of Sports Medicine, and the European League against Rheumatism recommendations for PA). The completeness of reporting of PA prescription was evaluated using a modified version of the Consensus on Exercise Reporting Template (CERT; range 0-14). Results A total of 14,047 apps were identified. Following deduplication, 2737 apps were screened for eligibility; 6 apps were downloaded (2 on the Apple App Store and 4 on the Google Play Store), yielding 4 unique apps. App quality varied (MARS score 2.25-4.17). Only 1 app was congruent with all aspects of the PA recommendations. All apps completely or partially recommended flexibility and resistance exercises, 3 apps completely or partially advised some form of neuromotor exercise, but only 2 offered full or partial guidance on cardiorespiratory exercise. Completeness of exercise reporting was mixed (CERT scores 7-14 points) and 3-7 BCTs were identified. Two BCTs were common to all apps (information about health consequences and instruction on how to perform behavior). Higher quality apps included a greater number of BCTs and were more closely aligned to PA guidance. No published trials evaluating the effect of the included apps were identified. Conclusions This review identifies 4 PA apps of mixed quality and content for use by people with RA. Higher quality apps were more closely aligned to PA guidance and included a greater number of BCTs. One high-quality app (Rheumatoid Arthritis Information Support and Education) included 7 BCTs and was fully aligned with PA and exercise guidance. The effect of apps on PA adherence should be established before implementation.

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