Future of Health Technology (Studies in Health Technology and Informatics, V. 80)
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Background: Computer-aided Detection CAD is increasingly being used as an aid tool by radiologists on breast lesion diagnosis. Previous studies demonstrated that CAD can improve the diagnosis performance of radiologist. However, the optimal use of CAD in breast lesions less and more than 2cm has not been mentioned.
Objective: To compare the performance of different radiologists by using CAD to detect breast cancer in size less and more than 2cm. Methods: We prospectively enrolled consecutive patients mean age, 43years; age range, 17—70 years , lesions more than 2cm, 79 with malignant, 69 with benign; less or equal to 2cm, 71 with malignant, with benign , with breast mass as prominent symptom. Diagnostic performances were compared by using analysis of variance. Results: For novice reader, the area under the receiver operating characteristic curve improved from 0.
Those were from 0. The sensitivity of novice and experienced reader in lesions less than 2cm improved from Conclusions: Computer-aided detection CAD was helpful for novice and experienced reader to improve cancer detection at breast US in lesions less than 2cm. CAD was more sensitive for both novice and experienced reader. And of course it also reflect the dedication of our team, including our academic authors, reviewers and editors.
JMIR Publications publishes leading academic journals, mainly in the field of digital health and participatory medicine, which are top-ranked by influence according to metrics like Impact Factor, h-index, or altmetrics social media mentionings. The Growth is produced by Canadian Business. For more information on the ranking, visit Growth Founded in , Canadian Business is the longest-serving and most-trusted business publication in the country. It is the country's premier media brand for executives and senior business leaders. It fuels the success of Canada's business elite with a focus on the things that matter most: leadership, innovation, business strategy and management tactics.
Learn more at CanadianBusiness. Founded in , the Journal of Medical Internet Research was the first open access journal, and cofounder of the Open Access Scholarly Publishing Association, pioneering a new Open Access business model for scholarly publishers. JMIR Publications now publishes 30 journals, and has become the leading scholarly publishers in the country. Learn more at jmirpublications. The journal focuses on emerging technologies, medical devices, apps, engineering, and informatics applications for patient education, prevention, population health and clinical care.
As a leading high-impact journal in its disciplines health informatics and health services research , it is selective, but it is now complemented by almost 30 specialty JMIR sister journals , which have a broader scope. Peer-review reports are portable across JMIR journals and papers can be transferred, so authors save time by not having to resubmit a paper to different journals. As an open access journal, we are read by clinicians, allied health professionals, informal caregivers, and patients alike, and have as with all JMIR journals a focus on readable and applied science reporting the design and evaluation of health innovations and emerging technologies.
We are also a leader in participatory and open science approaches, and offer the option to publish new submissions immediately as preprints , which receive DOIs for immediate citation eg, in grant proposals , and for open peer-review purposes.
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We also invite patients to participate eg, as peer-reviewers and have patient representatives on editorial boards. Background: Electronic patient portals are websites that provide individuals access to their personal health records and allow them to engage through a secure Web-based platform. These portals are becoming increasingly popular in contemporary health care systems. Patient portal use has been found to be beneficial in multiple specialties, especially in the management of chronic disease.
However, disparities have been identified in portal use in which racial and ethnic minorities and individuals with lower socioeconomic status have been shown to be less likely to enroll and use patient portals than non-Hispanic white persons and individuals with higher socioeconomic status.
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Electronic patient portal use by childbearing women has not been well studied, and data on portal use during pregnancy are limited. Methods: This was a retrospective cohort study of women who received prenatal care at an academic medical center from to Clinical records were reviewed for portal use and patient data. Patients were considered enrolled in the portal if they had an account at the time of delivery, and enrollees were compared with nonenrollees. Results: Of the women eligible for inclusion, Of these enrollees, There was no difference in portal enrollment by maternal race and ethnicity on multivariable models.
Women with public insurance adjusted incidence rate ratio; aIRR 0. Conversely, nulliparity aIRR 1.
Among portal enrollees, the only factor significantly associated with active portal use ie, secure messaging was nulliparity aIRR 1. Conclusions: Among an obstetric population, multiple clinical and socioeconomic factors were associated with electronic portal enrollment, but not subsequent active use. As portals become more integrated as tools to promote health, efforts should be made to ensure that already vulnerable populations are not further disadvantaged with regard to electronic-based care.
Discover Social Media mentions by hovering over the donut. Click the 'details' link for a full report. Background: In spite of the psychosocial burden and medical risks associated with skin picking disorder, the health care system does not provide sufficient treatment for affected individuals to date. Therefore, an internet-based self-help program for skin picking was developed to offer easily accessible support for this population. Objective: This pilot study evaluated the internet-based self-help program SaveMySkin.
The week program is based on cognitive-behavioral therapy and contains comprehensive information and exercises, a daily supportive monitoring system, and dermatological and psychological counseling via internet chat. Primary objectives were the investigation of attitudes and expectations toward the program, intervention effects on skin picking severity, user satisfaction, adherence, and willingness to participate.
Secondary outcomes included the feasibility of study procedures, adequacy of assessment instruments, effects on skin picking—related impairment, dimensions of skin picking, and general psychological impairment. Inclusion required a minimum age of 17 years and at least mild skin picking severity.
All assessments were conducted online and based on self-report. Results: The willingness to participate was very high in the study, so the initially planned sample size of was exceeded after only 18 days.
The post-assessment was completed by On average, participants viewed No effects on secondary outcomes were found. Conclusions: This study confirms the need for easily accessible interventions for skin picking disorder and the high interest in internet-based self-help within the target population. It provides important insights into the attitudes toward online support and actual user experiences.
Participant feedback will be used to further enhance the intervention.
Flinders Digital Health Research Centre
Our results point to the preliminary efficacy of SaveMySkin and may lay the foundation for future research into the efficacy and cost-effectiveness of the program in a multicenter clinical trial. Background: Monitoring risk of imminent aggression in inpatient forensic mental health services could be supported by passive remote monitoring technology, but staff attitudes toward the relevance and likelihood of engagement with this technology are unknown.
Objective: This study aimed to explore staff views, specifically potential benefits and implementation barriers, on using this technology for monitoring risk of inpatient aggression. Methods: We conducted semistructured focus groups with nurses in an inpatient forensic mental health service. We used thematic analysis with two independent raters to identify themes and subthemes related to staff attitudes toward passive remote monitoring. We subsequently checked with members to ensure the validity of the themes identified by the raters. Results: From January to March , a total of 25 nurses took part in five focus groups.
We identified five main themes, one of which concerned the potential benefits that passive remote monitoring could provide for monitoring risk of aggression. Staff suggested it could provide an early warning of impending aggression and enable support to be provided earlier. Conclusions: Passive remote monitoring technology could support existing methods of monitoring inpatient aggression risk, but multiple barriers to implementation exist.
Empirical research is required to investigate whether these potential benefits can be realized, and to identify ways of addressing these barriers to ensure acceptability and user engagement. Background: Physical activity PA is associated with a variety of physical and psychosocial health benefits, but levels of moderate-to-vigorous intensity PA remain low worldwide. We categorized reviews as positive and negative as they appeared in the marketplaces and identified the most common themes using an inductive thematic analysis.
Results: The reviews were often mixed, reporting a wide variety of expectations, preferences, and gaming experiences. Players preferred highly realistic games eg, closely simulated real-world sport , games that were intuitive in terms of body movement and controls , and games that provided gradual increases in skill acquisition. Players reported feeling that they reached a high level of exertion when playing and that the immersion distracted them from the intensity of the exercise.
Recent Movement on Education and Training in Health Informatics
Some preferred features included music and social aspects of the games, with multiplayer options to include friends or receive help from experienced players. There were 3 main themes in negative reviews. The first concerned bugs that rendered games frustrating. Second, the quality of graphics had a particularly strong impact on perceived enjoyment.
Finally, reviewers disliked when games had overly complex controls and display functions that evoked motion sickness. Conclusions: Exergames prove to be a stimulating avenue for players to engage in PA and distract themselves from the negative perceptions of performing exercise. The common negative aspects of VR exergames should be addressed for increased uptake and continued engagement. Background: Although electronic health interventions are considered safe and efficient, evidence regarding the cost-effectiveness of telemonitoring in inflammatory bowel disease is lacking.
Methods: We analyzed cost-effectiveness from a societal perspective by comparing the 3 follow-up methods used in a previous week randomized controlled trial, conducted at a tertiary university hospital in Spain. Patients with inflammatory bowel disease who initiated immunosuppressants or biologic agents, or both, to control inflammatory activity were recruited consecutively. Data on the effects on disease activity using clinical indexes and quality-adjusted life-years using the EuroQol 5 dimensions questionnaire were collected.
We compared the mean costs per patient, utilities, and bootstrapped differences. Results: We included 63 patients 21 patients per group. Conclusions: There is a high probability that the TECCU Web platform is more cost-effective than standard and telephone care in the short term. Further research considering larger cohorts and longer time horizons is required. Background: Family conflict can reduce adolescent adherence to type 1 diabetes management tasks.