DigitalGesundF: Europan Campus Rottal-InnZeitschriftenartikel
R. Istepanian, M. Kulhandjian, Georgi Chaltikyan
Mobile Health (mHealth) in the Developing World: Two Decades of Progress or Retrogression
Journal of the International Society for Telemedicine and eHealth (JISfTeH), vol. 8, no. e24, pp. 1-5
2020
DOI: 10.29086/JISfTeH.8.e24
Abstract anzeigen
Mobile healthcare, or mHealth, is one of the key pillars of information and communication technologies for healthcare that consists of telemedicine, telehealth, eHealth, and mHealth. In the past two decades, mobile health has become a transformative concept for healthcare delivery innovations on a global scale. The success was based on the market-driven strategies that utilised the advances in mobile communications, computing, and sensor technologies, especially in recent years. Those market-driven mobile health systems were also closely associated with the global proliferation of smartphones, and based on the correlated usage principle of the smartphone applications for healthcare and wellbeing. However, the global commercial success of the smartphone-based mHealth model was not widely translated into successful scaled-up and tangible healthcare benefits, especially in low- and-middle income countries, compared to the consumer mobile health markets. The numerous healthcare challenges in the developing world remained largely untackled by the existing mobile health systems and models. The much-hyped transformative benefits of these systems remain largely unfulfilled. For two decades since the inception of this concept, the majority of the population in resource-limited healthcare settings still remain in poorer health and live in worsened conditions, with limited if any access to basic healthcare services. The much-hyped mobile health services that promised transforming these fragile and limited healthcare conditions, did not come to wider fruition globally. The COVID-19 pandemic, with its devastating human and economic impact worsened this status. An overview of the origin and the basic principles of mobile health, its current landscape and status in the developing world is presented. The impact of the smartphone-centric model that dominated the landscape of mobile health systems in these countries is discussed, and a critical view on the limitation of this mobile health model adopted widely in these settings is provided.
DigitalGesundF: Europan Campus Rottal-InnZeitschriftenartikel
Fara Fernandes, Georgi Chaltikyan
Analysis of Legal and Regulatory Frameworks in Digital Health: A Comparison of Guidelines and Approaches in the European Union and United States
Journal of the International Society for Telemedicine and eHealth (JISfTeH), vol. 8, no. e11, pp. 1-13
2020
DOI: 10.29086/JISfTeH.8.e11
Abstract anzeigen
The advent of digital technology in healthcare presents opportunities for the improvement of healthcare systems around the world and the move towards value-based treatment. However, this move must be accompanied by strong legal and regulatory frameworks that will not only facilitate but encourage the good use of technology. The goal of the study was to assess the amenability and furtherance of regulatory frameworks in digital health by evaluating and comparing the processes, effectiveness and outcomes of these frameworks in the European Union and United States. Methods: This study incorporated two research methodologies. The first was a research of current legal and regulatory frameworks in digital health in the European Union and United States. A comprehensive online search for publications was carried out which included laws, regulations, policies, green papers, guidelines and recommendations. This research was complemented with interviews of five purposively sampled key informants in the legal and regulatory landscape. Results: Mind-maps revealed key features and challenges of the digital health field in the topics of the current state of regulation of digital health in the EU, Germany and US, regulatory pathways for digital health devices, protection and privacy of health data, mobile health validation, risk-based classification of medical devices, regulation of clinical decision support systems, telemedicine, artificial intelligence and emerging technologies, reimbursement for digital health services and liability for digital health products. The experts expressed and explained key points where current regulation is deficient. The review of the legal frameworks revealed deficiencies which provide opportunities and recommendations to further develop and strengthen the regulatory landscape. Conclusions: A key element to a robust regulatory framework is the ability to ensure trust and confidence in using digital health technology. Technology must measure the impact on quality of life and burden of disease and not merely involve the collection of data.
DigitalGesundF: Angewandte GesundheitswissenschaftenS: TC FreyungBeitrag (Sammelband oder Tagungsband)
Ludwig Schiller, Manuela Wühr, Rainer Pöschl, Wolfgang Dorner
Concept for the Large Scale Deployment of Ambient Assisted Living Systems
Proceedings of the 2020 10th International Conference on Advanced Computer Information Technologies (ACIT) [September 6-8, 2020; Deggendorf]
2020
DOI: 10.1109/ACIT49673.2020.9208911
Abstract anzeigen
This paper deals with the problem of equipping 100 households in Lower Bavarian with sensors using different interfaces and protocols. This sensor set in the households is used in the context of the research project DeinHaus 4.0 of Deggendorf Institute of Technology. This project focuses on supporting technologies to enable elderly people to live as long as possible in their own house or apartment. Therefore, a set of sensors and Ambient Assisted Living (AAL) technologies are used to build a supporting system. Furthermore, the system collects, anonymizes and stores the sensor data for further technical and social analysis.
GesundF: Europan Campus Rottal-InnZeitschriftenartikel
T. Talanow, Anna-Maria Kasparbauer, J. Lippold, B. Weber, U. Ettinger
Neural Correlates of Proactive and Reactive Inhibition of Saccadic Eye Movements
Brain Imaging and Behavior, vol. 14, pp. 72-88
2020
DOI: 10.1007/s11682-018-9972-3
Abstract anzeigen
Although research on goal-directed, proactive inhibitory control (IC) and stimulus-driven, reactive IC is growing, no previous study has compared proactive IC in conditions of uncertainty with regard to upcoming inhibition to conditions of certain upcoming IC. Therefore, we investigated effects of certainty and uncertainty on behavior and blood oxygen level dependent (BOLD) signal in proactive and reactive IC. In two studies, healthy adults performed saccadic go/no-go and prosaccade/antisaccade tasks. The certainty manipulation had a highly significant behavioral effect in both studies, with inhibitory control being more successful under certain than uncertain conditions on both tasks (p ≤ 0.001). Saccadic go responses were significantly less efficient under conditions of uncertainty than certain responding (p < 0.001). Event-related functional magnetic resonance imaging (fMRI) (one study) revealed a dissociation of certainty- and uncertainty-related proactive inhibitory neural correlates in the go/no-go task, with lateral and medial prefrontal and occipital cortex showing stronger deactivations during uncertainty than during certain upcoming inhibition, and lateral parietal cortex being activated more strongly during certain upcoming inhibition than uncertainty or certain upcoming responding. In the antisaccade task, proactive BOLD effects arose due to stronger deactivations in uncertain response conditions of both tasks and before certain prosaccades than antisaccades. Reactive inhibition-related BOLD increases occurred in inferior parietal cortex and supramarginal gyrus (SMG) in the go/no-go task only. Proactive IC may imply focusing attention on the external environment for encoding salient or alerting events as well as inhibitory mechanisms that reduce potentially distracting neural processes. SMG and inferior parietal cortex may play an important role in both proactive and reactive IC of saccades.
GesundF: Angewandte GesundheitswissenschaftenZeitschriftenartikel
Stephanie Hecht
Bewegungsbezogene Gesundheitskompetenz (bGK). Die Vermittlung von bGK in der Lehre für eine qualitativ hochwertige Klientenversorgung
PADUA - Die Fachzeitschrift für Pflegepädagogik, Patientenedukation und -bildung, vol. 15, no. 1, pp. 1-7
2020
DOI: 10.1024/1861-6186/a000529
Abstract anzeigen
Regelmäßige körperliche Aktivität birgt enorme
gesundheitsförderliche
Wirkungen. Ein Großteil der
Bevölkerung erreicht jedoch die Mindestempfehlungen
für Bewegung nicht. Das Konstrukt Bewegungsbezogene
Gesundheitskompetenz adaptiert
Ressourcen und Barrieren, um körperliche Aktivität
bestmöglich zu initiieren und zu verstetigen. Die
Umsetzung verlangt hoch kompetente Gesundheitsexperten,
die unterschiedliche Handlungsansätze
für die Bedarfe einer Zielgruppe bzw. eines
Menschen entwickeln.
GesundF: Angewandte GesundheitswissenschaftenZeitschriftenartikel
Bernhard Bleyer
Casuistry: On a Method of Ethical Judgement in Patient Care
HealthCare Ethics Committee (HEC) Forum, no. Published 09 March 2020, pp. 1-16
2020
DOI: 10.1007/s10730-020-09396-7
Abstract anzeigen
The article is dedicated to the application questions of a case study method known as casuistry. In its long tradition, it focuses on an influential variant of the early modern period and reconstructs its functionality. In the course of reading recent receptions, it is noted that some studies speak of a “casuistic revival” in moral case deliberation in health care. As a result of this revival, casuistry has been modified in such a way that it guides case discussions in practice with the help of a tripartite methodology (morphology, taxonomy, and kinetics). However, as it turns out, casuistry, a case comparison method of ethical judgement based on reasoning logic, is less suitable for moral case deliberations in direct patient care. This stems from the fact that casuistry is a detailed procedure of ethical learning beneficial to institutionalized ethics committees or similar forms of ethics consultation in health care.
GesundF: Angewandte GesundheitswissenschaftenVortrag
Oliver Quer
Nursing Development Unit Onkologie - Praxisentwicklung Pflege im Umfeld von Tod und Sterben. Umgangsweisen von Pflegenden mit Wünschen von Sterbenden
1. ACP Kongress Deutschland (Erster Deutscher Kongress für Advance Care Planning), Köln
2020
GesundF: Angewandte GesundheitswissenschaftenZeitschriftenartikel
N. Schmidkonz, Doris Eberhardt
Mit Leadership zur personenzentrierten Vermittlung von Gesundheitsinformationen
Ein Praxisentwicklungsprojekt zur Förderung selbständiger Bewegung nach Kniegelenksimplantation
PADUA - Die Fachzeitschrift für Pflegepädagogik, Patientenedukation und -bildung, vol. 15, no. 1, pp. 31-37
2020
GesundF: Angewandte GesundheitswissenschaftenZeitschriftenartikel
C. Kölblin, Doris Eberhardt
Bedürfnisgerechte Information von Angehörigen kritisch Kranker
Eine Analyse des Informationsangebots auf Webseiten bayrischer Intensivstationen
PADUA - Die Fachzeitschrift für Pflegepädagogik, Patientenedukation und -bildung, vol. 15, no. 1, pp. 15-22
2020
DOI: 10.1024/1861-6186/a000530
Abstract anzeigen
Angehörige kritisch kranker Menschen haben ein vielschichtiges und umfassendes Bedürfnis nach Informationen. Die Webseiten von Intensivstationen könnten mit relevanten und verlässlichen Informationen einen wichtigen Beitrag dazu leisten, Angehörige im Umgang mit der belastenden Situation zu unterstützen. In Rahmen einer Bachelorarbeit wurde untersucht, inwiefern die Webseiten bedürfnisgerechte Informationen anbieten.
GesundF: Angewandte GesundheitswissenschaftenZeitschriftenartikel
S. Kaufmann, O. Hoos, T. Kuehl, T. Tietz, D. R. Reim, K. Fehske, Richard Latzel, R. Beneke
Energetic Profiles of the Yo-Yo Intermittent Recovery Tests 1 and 2
International Journal of Sports Physiology and Performance, pp. 1-6
2020
DOI: 10.1123/ijspp.2019-0702
Abstract anzeigen
Purpose: To analyze the energetic profiles of the Yo-Yo Intermittent Recovery Tests 1 and 2 (YYIR1 and YYIR2).
Methods: Intermittent running distance (IR1D and IR2D), time to exhaustion (IR1T and IR2T), and total recovery time between shuttles (IR1R and IR2R) were measured in 10 well-trained male athletes (age 24.4 [2.0] y, height 182 [1] cm, weight 75.8 [7.9] kg). Respiratory gases and blood lactate (BLC) were obtained preexercise, during exercise, and until 15 min postexercise. Metabolic energy, average metabolic power , and energy share (percentage of aerobic [WAER], anaerobic lactic [WBLC], and anaerobic alactic energy system [WPCr]) were calculated using the PCr-La-O2 method.
Results: Peak oxygen consumption was possibly higher in YYIR2 (60.3 [5.1] mL·kg-1·min-1) than in YYIR1 (P = .116, 57.7 [4.5] mL·kg-1·min-1, d = -0.58). IR1D, IR1T, and IR1R were very likely higher than IR2D, IR2T, and IR2R, respectively (P < .001, 1876 [391] vs 672 [132] m, d = -2.83; P < .001, 916 [175] vs 304 [57] s, d = -3.03; and P < .001, 460 [100] vs 150 [40] s, d = -2.83). Metabolic energy was most likely lower in YYIR2 than in YYIR1 (P < .001, 493.5 [118.1] vs 984.8 [171.7] kJ, d = 3.24). Average metabolic power was most likely higher in YYIR2 than in YYIR1 (P < .001, 21.5 [1.7] vs 14.5 [2.2] W·kg-1, d = 3.54). When considering aerobic phosphocreatine restoration during breaks between shuttles, WAER (P = .693, 49% [10%] vs 48% [5%], d = -0.16) was similar, WPCr (P = .165, 47% [11%] vs 42% [6%], d = -0.54) possibly higher, and WBLC (P < .001, 4% [1%] vs 10% [3%], d = 1.95) almost certainly lower in YYIR1 than in YYIR2.
Conclusions: WAER and WPCr are predominant in YYIR1 and YYIR2 with almost identical WAER. Higher IR1D and IR1T in YYIR1 result in higher metabolic energy but lower average metabolic power and slightly lower peak oxygen consumption. Higher IR1R allows for higher reliance on WPCr in YYIR1, while YYIR2 requires a higher fraction of WBLC.
GesundF: Europan Campus Rottal-InnVortrag
Georgi Chaltikyan
Digital Health Revolution: Has the Future of Medicine Arrived Yet?
Keynote
7th IEEE International Conference on e-Health and Bioengineering (EHB): Smarter technology for a better health, Iași, Romania
2019
Version: 2.1.2-qf2