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  • 文章类型: Journal Article
    生物信息学是利用计算机技术收集,store,分析,并分享生物数据和信息。基因或整个基因组的DNA序列,蛋白质氨基酸序列,核酸,和蛋白质-核酸复合物结构是传统生物信息学数据的例子。此外,蛋白质组学,蛋白质在细胞中的分布,手术间,蛋白质和核酸之间相互作用的模式,和代谢组学,通过细胞中的生化途径进行的小分子转化的类型和模式,是进一步的数据流。目前,生物信息学的目标是综合的,专注于如何利用各种数据组合来理解生物体和疾病。生物信息学技术已成为检查新生儿疾病背后的基本机制的新型工具。在新生儿出生的最初几周,这些方法可以结合临床数据来识别最脆弱的新生儿,并更好地了解某些死亡率,包括呼吸窘迫,支气管肺发育不良,脓毒症,或者天生的新陈代谢错误。在目前的研究中,我们进行了文献综述,总结了生物信息学在新生儿医学中的应用现状。我们的目的是提供证据,为新生儿病理生理学的潜在机制提供新的见解,并可用作新生儿护理的早期诊断工具。
    Bioinformatics is a scientific field that uses computer technology to gather, store, analyze, and share biological data and information. DNA sequences of genes or entire genomes, protein amino acid sequences, nucleic acid, and protein-nucleic acid complex structures are examples of traditional bioinformatics data. Moreover, proteomics, the distribution of proteins in cells, interactomics, the patterns of interactions between proteins and nucleic acids, and metabolomics, the types and patterns of small-molecule transformations by the biochemical pathways in cells, are further data streams. Currently, the objectives of bioinformatics are integrative, focusing on how various data combinations might be utilized to comprehend organisms and diseases. Bioinformatic techniques have become popular as novel instruments for examining the fundamental mechanisms behind neonatal diseases. In the first few weeks of newborn life, these methods can be utilized in conjunction with clinical data to identify the most vulnerable neonates and to gain a better understanding of certain mortalities, including respiratory distress, bronchopulmonary dysplasia, sepsis, or inborn errors of metabolism. In the current study, we performed a literature review to summarize the current application of bioinformatics in neonatal medicine. Our aim was to provide evidence that could supply novel insights into the underlying mechanism of neonatal pathophysiology and could be used as an early diagnostic tool in neonatal care.
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  • 文章类型: Journal Article
    评估和表征在线评级和对喉科医师的评论,并确定与较高评级相关的因素。
    所有美国喉科协会(ALA)成员都通过多个在线平台进行了查询。将评级标准化,以进行五点李克特量表的比较。评级是根据上下文和积极/消极方面进行分类的。
    在331名ALA成员中,在至少一个在线平台上对256名(77%)进行了评级。在所有平台上,平均总体评分为4.39±0.61(范围:1.00-5.00)。具体的正面评级,包括“床边礼仪,\"\"诊断准确性,“\”与病人在一起的时间充足,\"\"适当的后续行动,“”和“医生及时性”与总体评分有显著正相关,通过皮尔逊相关性(P<0.001)。长等待时间与总体评分呈显著负相关(P<0.001)。
    喉科医师的在线评分和评论受到患者对床边方式的感知的显著影响,医师能力,和病人在一起的时间。
    UNASSIGNED: To assess and characterize online ratings and comments on laryngologists and determine factors that correlate with higher ratings.
    UNASSIGNED: All the American Laryngological Association (ALA) members were queried across several online platforms. Ratings were normalized for comparison on a five-point Likert scale. Ratings were categorized based on context and for positive/negative aspects.
    UNASSIGNED: Of the 331 ALA members, 256 (77%) were rated on at least one online platform. Across all platforms, the average overall rating was 4.39 ± 0.61 (range: 1.00-5.00). Specific positive ratings including \"bedside manners,\" \"diagnostic accuracy,\" \"adequate time spent with patient,\" \"appropriate follow-up,\" and \"physician timeliness\" had significant positive correlations to overall ratings, by Pearson\'s correlation (P < 0.001). Long wait times had significant negative correlations to overall ratings (P < 0.001).
    UNASSIGNED: Online ratings and comments for laryngologists are significantly influenced by patient perceptions of bedside manner, physician competence, and time spent with the patient.
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  • 文章类型: Journal Article
    在一个日益面对面的时代,混合,和在线健康职业教育,学生有更多的机构选择,在那里学习他们的学位。对于申请人来说,时常,第一步是通过其网站了解有关程序的更多信息。网站允许程序传达他们独特的声音,并与申请人等其他人分享他们的使命和价值观,研究人员,和学者。此外,作为卫生专业教育硕士(MHPE)的数量,或等价物,程序迅速增长,网站可以共享这些程序的优先级。
    在这项研究中,我们对158个MHPE网站进行了网站审查,以探索它们的地理分布,任务,教育浓度,和各种方案组成部分。
    我们汇编了这些信息并综合了相关方面,例如程序的相似性和差异性,或强调关键数据的遗漏。
    鉴于网站通常是潜在申请人的第一联系点,好奇的合作者,和潜在的教师,MHPE程序的数字图像很重要。我们相信我们的研究结果证明了机构内部的增长机会,并协助该领域确定MHPE计划的优先事项。随着程序开始以更多的意图塑造他们的网站,与他们认为合适的其他程序相比,他们可以反映出他们的相对分歧/趋同,因此,吸引个人来最好地匹配这个身份。定期审查项目的广度,比如在这里经历的那些,是实现多样化目标所必需的,并有助于推动MHPE领域的整体发展。
    UNASSIGNED: In an age of increasingly face-to-face, blended, and online Health Professions Education, students have more choices of institutions at which to study their degree. For an applicant, oftentimes, the first step is to learn more about a program through its website. Websites allow programs to convey their unique voice and to share their mission and values with others such as applicants, researchers, and academics. Additionally, as the number of master in health professions education (MHPE), or equivalent, programs rapidly grows, websites can share the priorities of these programs.
    UNASSIGNED: In this study, we conducted a website review of 158 MHPE websites to explore their geographical distributions, missions, educational concentrations, and various programmatic components.
    UNASSIGNED: We compiled this information and synthesized pertinent aspects, such as program similarities and differences, or highlighted the omission of critical data.
    UNASSIGNED: Given that websites are often the first point of contact for prospective applicants, curious collaborators, and potential faculty, the digital image of MHPE programs matters. We believe our findings demonstrate opportunities for growth within institutions and assist the field in identifying the priorities of MHPE programs. As programs begin to shape their websites with more intentionality, they can reflect their relative divergence/convergence compared to other programs as they see fit and, therefore, attract individuals to best match this identity. Periodic reviews of the breadth of programs, such as those undergone here, are necessary to capture diversifying goals, and serves to help advance the field of MHPE as a whole.
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  • 文章类型: Journal Article
    研究人员和政策制定者之间正在就如何使透明度成为医疗保健系统的强大工具进行辩论。这项研究探讨了有关普通人群的医疗服务信息的可用性和可及性如何影响俄罗斯的医疗保健结果。根据系统审查和荟萃分析(PRISMA)指南的首选报告项目进行系统审查和报告。还审查了世界上最有效的医疗保健系统中使用的卫生设施的透明度指标。尽管提高俄罗斯医疗系统的透明度被认为是提高效率的工具,在提高实际透明度方面做得很少。俄罗斯医疗保健系统的现有制度细节对可接受的透明度水平施加了严重限制。在回顾的俄罗斯实证研究中,透明度通常被简单地视为医疗机构网站上提供的信息或与强制性医疗统计报告的可访问指标数量有关的问题。这项研究的新颖之处在于(a)审查有关该主题的最新研究,以及(b)在分析中包括俄语研究。我们详细阐述了改善俄罗斯医疗系统透明度驱动成果的一般和具体政策含义。
    There is an ongoing debate among researchers and policy-makers on how to make transparency a powerful tool of healthcare systems. This study addresses how the availability and accessibility of information about medical services to the general population affects healthcare outcomes in Russia. A systematic review was conducted and reported according to the Preferred Reporting Items for Systematic Reviewing and Meta-Analysis (PRISMA) guidelines. Transparency indicators of health facilities used in the world\'s most efficient healthcare systems are also reviewed. Although the increase of transparency in the Russian healthcare system is considered as a tool for improving its efficiency, very little has been done to improve the actual level of transparency. The existing institutional specifics of the Russian healthcare system impose serious restrictions on acceptable levels of transparency. In the reviewed empirical Russian studies, transparency is often viewed simplistically as either information available on the websites of medical organizations or issues related to the amount of accessible indicators of compulsory medical statistical reporting. The novelty of this study consists in (a) reviewing the most recent studies on the topic and (b) including studies in Russian in the analysis. We elaborate on general and specific policy implications for improving transparency-driven outcomes in the Russian healthcare system.
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  • 文章类型: Journal Article
    基于Web的学习应用程序可以支持健康科学教育,包括病理学和实验室医学方面的知识获取。可以开发网站来提供学习内容,评估,以及支持病理学教育的产品。在本文中,我们回顾了信息学原理,实践,以及在现有网站和已发布的教育网站使用结果研究的背景下与教育网站开发有关的程序,包括作者的。我们提供了一个概述,分析使用的潜在结果,以告知如何使用这些网站,并指导进一步发展。我们讨论教育网站对个人用户的价值,教育机构,和专业组织。教育网站可能会提供形成性的评估,为了学习自己,作为实践,准备,和自我评估。开放访问网站具有全球全天候可用性的优势,特别是在低资源环境中帮助人们。在正式课程中提供教育支持的商业产品超出了本审查的范围。这篇评论旨在指导那些对网站开发感兴趣的人,为寻求提高他们的知识和诊断技能支持病理学职业的用户提供非商业性教育目的。
    Web-based learning applications can support health sciences education, including knowledge acquisition in pathology and laboratory medicine. Websites can be developed to provide learning content, assessments, and products supporting pathology education. In this paper, we review informatics principles, practices, and procedures involved with educational website development in the context of existing websites and published studies of educational website usage outcomes, including that of the authors. We provide an overview with analysis of potential results of usage to inform how such websites may be used, and to guide further development. We discuss the value of educational websites for individual users, educational institutions, and professional organizations. Educational websites may offer assessments that are formative, for learning itself, as practice, preparation, and self-assessment. Open access websites have the advantage of worldwide availability 24/7, particularly aiding persons in low resource settings. Commercial offerings for educational support in formal curricula are beyond the scope of this review. This review is intended to guide those interested in website development to support non-commercial educational purposes for users seeking to improve their knowledge and diagnostic skills supporting careers in pathology.
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  • 文章类型: Journal Article
    阿巴拉契亚健康杂志致力于审查与影响阿巴拉契亚健康的当代概念有关的已发表媒体。获得护理和我们面临的健康差距直接影响我们的疾病经历。KendraBarker博士评论了网站:阿巴拉契亚医疗补助。
    The Journal of Appalachian Health is committed to reviewing published media that relates to contemporary concepts affecting the health of Appalachia. Access to care and the health disparities we face have a direct effect on our experience of illness. Dr. Kendra Barker reviews the website: Appalachians for Medicaid.
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  • 文章类型: Journal Article
    In many countries, sex work is criminalized, driving sex work underground and leaving sex workers vulnerable to a number of occupational health and safety risks, including violence, assault, and robbery. With the advent of widely accessible information and communication technologies (ICTs), sex workers have begun to use electronic occupational health and safety tools to mitigate these risks.
    This study aims to explore the use of ICTs by sex workers for managing occupational health and safety risks and strategies for reducing these risks. This paper aims to answer the following question: what is known about sex workers\' use of ICTs in the delivery of occupational health and safety strategies?
    A literature review following the methodological framework for scoping reviews was conducted to analyze studies describing the use of ICTs by sex workers to mitigate occupational health and safety risks. Experimental, observational, and descriptive studies, as well as protocol papers, were included in this scoping review.
    Of the 2477 articles initially identified, 41 (1.66%) met the inclusion criteria. Of these studies, 71% (29/41) were published between 2015 and 2019. In these studies, the internet was the predominant ICT (24/41, 58%), followed by text messaging (10/41, 24%) and assorted communication technologies associated with mobile phones without internet access (7/41, 17%; eg, voice mail). In 56% (23/41) of the studies, sex workers located in high-income countries created occupational health and safety strategies (eg, bad date lists) and shared them through the internet. In 24% (10/41) of the studies, mostly in low- and middle-income countries, organizations external to sex work developed and sent (through text messages) occupational health and safety strategies focused on HIV. In 20% (8/41) of the studies, external organizations collaborated with the sex worker community in the development of occupational health and safety strategies communicated through ICTs; through this collaboration, concerns other than HIV (eg, mental health) emerged.
    Although there has been an increase in the number of studies on the use of ICTs by sex workers for managing occupational health and safety over the past 5 years, knowledge of how to optimally leverage ICTs for this purpose remains scarce. Recommendations for expanding the use of ICTs by sex workers for occupational health and safety include external organizations collaborating with sex workers in the design of ICT interventions to mitigate occupational health and safety risks; to examine whether ICTs used in low- and middle-income countries would have applications in high-income countries as a substitute to the internet for sharing occupational health and safety strategies; and to explore the creation of innovative, secure, web-based communities that use existing or alternative digital technologies that could be used by sex workers to manage their occupational health and safety.
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  • 文章类型: Journal Article
    背景:基于Web的干预措施已成为治疗健康问题的创新选择,比如肥胖.本系统评价和网络荟萃分析的目的是分析基于网络的行为治疗对超重和肥胖成人的有效性。基于网络的干预和比较干预(传统的体重控制程序)根据以下反馈特征进行分类:频率,个性化,和提供者(人与机器)。
    方法:从最初的1789项研究来看,这次审查包括15个。进行了网络荟萃分析,以分析基于网络的程序与传统干预的功效,考虑直接和间接比较。主要结果是基线和治疗后的体重减轻平均差(kg)。对异质性和一致性假设进行了网络荟萃分析。
    结果:网络荟萃分析显示了不同治疗方案之间的比较。主要结果是,基于Web的密集接触程序比等待列表更有效(平均差异-1.86kg;95%置信区间:-3.61,-0.12)。此外,与其他基于网络的选择和自助传统干预措施相比,基于网络的密集接触计划更有效。然而,唯一显著的比较是基于网络的密集接触程序与基于网络的引导自助程序(平均差异-4.31kg;95%置信区间:-5,22,-3,41)。根据获得的结果,基于Web的密集接触程序是最有效的治疗选择,在网络荟萃分析提供的排名中排名第一,概率为98.5%。
    结论:基于网络的密集接触干预措施在排名中排名第一,证明了频繁的相关性,个性化,和专业反馈及其与超重和肥胖患者预后更好的关联。这些结果提供了相关信息,为超重和肥胖患者设计更有效的治疗方法,以一种特别适合当前情况的新格式。
    自1975年以来,全球超重和肥胖的人数增加了两倍。肥胖已经成为公共健康的严重问题。出于这个原因,迫切需要为超重和肥胖人群设计创新的治疗方法。这项系统评价和网络荟萃分析评估了创新干预措施的有效性,具体的基于网络的超重和肥胖计划,将它们与传统行为治疗和等待名单组进行比较。基于网络的行为治疗和传统的行为治疗都根据三个反馈特征进行分类:个性化,频率,和提供者(人与机器)。文献表明,在传统干预措施中,频繁的反馈是预后良好的指标。这项研究的结果表明,对于基于网络的干预措施,医疗保健专业人员提供的密集和个性化反馈是导致更好预后的治疗选择.第二种和第三种选择是基于网络的指导自助计划和传统的自助计划。这些干预措施赋予参与者权力,提供更多的自我效能感。基于Web的最小接触程序,基于网络的自助程序和等待列表是最后的选择。只有网络荟萃分析才能提供可用治疗方案的准确排名,本研究中使用的统计技术。
    BACKGROUND: Web-based delivered interventions have become an innovative option to treat health problems, like obesity. The aim of this systematic review and network meta-analysis was to analyze the effectiveness of web-based behavioral treatments for adults with overweight and obesity. Web-based interventions and comparison interventions (traditional weight control programs) were classified according to the following feedback characteristics: frequency, personalization, and provider (human versus machine).
    METHODS: From the initial 1789 studies, 15 were included in this review. A network meta-analysis was conducted to analyze the efficacy of web-based programs with traditional interventions, considering direct and indirect comparisons. The main outcome was the weight loss mean difference (kg) between baseline and post-treatment. Heterogeneity and consistency assumptions were validated to conduct the network meta-analysis.
    RESULTS: Network meta-analysis showed comparisons between different treatment options. The main results were that Intensive Contact Web-based programs were more effective than wait-list (Mean Difference - 1.86 kg; 95% Confidence Interval: - 3.61, - 0.12). Moreover, Intensive Contact Web-based programs were more effective than the other web-based options and self-help traditional interventions. However, the only significant comparison was Intensive Contact Web-based programs versus Guided Self-Help Web-based programs (Mean Difference - 4.31 kg; 95% Confidence Interval: - 5,22, - 3,41). Intensive Contact Web-based programs were the most effective treatment option according the obtained results, achieving the first place in the ranking provided by the network meta-analysis with 98.5% of probabilities.
    CONCLUSIONS: Intensive Contact Web-based interventions have obtained the first position in the ranking, proving the relevance of frequent, personalized, and professional feedback and their association with a better prognosis for people with overweight and obesity. These results provide relevant information to design more effective treatments for people with overweight and obesity, in a new format especially appropriate for the current situation.
    The number of people with overweight and obesity has tripled worldwide since 1975. Obesity has become a serious problem for public health. For that reason, the design of innovative treatments for people with overweight and obesity is an urgent need. This systematic review and network meta-analysis assesses the effectiveness of innovative interventions, concretely web-based programs for overweight and obesity, comparing them with traditional behavioral treatments and wait-list groups. Both web-based and traditional behavioral treatments were classified according to three feedback characteristics: personalization, frequency, and provider (human versus machine). The literature has suggested that a frequent feedback is an indicator of good prognosis in traditional interventions. The results of this study showed that for web-based interventions, an intensive and personalized feedback provided by a healthcare professional was the treatment option that led to a better prognosis. The second and third option were web-based guided self-hep programs and traditional self-help programs. These interventions empowered the participants, providing more sense of self-efficacy. Web-based minimal-contact programs, web-based self-help programs and wait-list were the last options. An accurate ranking of available treatment options only can be provided by a network meta-analysis, the statistic technique used in this study.
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  • 文章类型: Journal Article
    目的:综合不同电子健康(eHealth)干预措施的作用和潜在作用调节剂的证据,以帮助人们戒烟。
    方法:四个数据库(MEDLINE,PsycINFO,Embase,和Cochrane图书馆)于2017年3月使用包括“戒烟”在内的术语进行搜索,“电子健康/移动健康”和“电子技术”寻找相关研究。使用Mantel-Haenszel检验对固定效应风险比(RR)和限制性最大似然技术进行meta分析和meta回归分析。分别。协议注册号:CRD42017072560。
    结果:该综述包括108项研究和110,372名参与者。与非活动对照组相比(例如,常规护理),使用基于网络和移动健康(mHealth)平台的戒烟干预措施显着提高了禁烟率,RR2.03(95%CI1.7-2.03),和RR1.71(95%CI1.35-2.16),分别。同样,使用定制短信(RR1.80,95%CI1.54-2.10)和基于网络的信息以及联合尼古丁替代疗法(RR1.29,95%CI1.17-1.43)的戒烟试验也可能增加戒烟.相比之下,计算机辅助干预对戒烟几乎没有或根本没有益处(RR1.31,95%CI1.11-1.53).如果试验在美国或欧洲进行,并且干预措施包括单独定制的短信,则mHealth戒烟干预措施的效果大小可能更大。相比之下,高频率的文本(每日)不如每周文本有效。
    结论:有一致的证据表明,基于网络和mHealth的戒烟干预措施可能会适度增加禁欲。试验的方法学质量和干预特征(量身定制与未量身定制)是电子健康戒烟干预措施中的关键效果调节剂,特别是基于网络和短信的试验。未来的戒烟干预措施应利用基于网络和移动健康的参与来改善长期的禁欲。
    OBJECTIVE: To synthesize evidence of the effects and potential effect modifiers of different electronic health (eHealth) interventions to help people quit smoking.
    METHODS: Four databases (MEDLINE, PsycINFO, Embase, and The Cochrane Library) were searched in March 2017 using terms that included \"smoking cessation\", \"eHealth/mHealth\" and \"electronic technology\" to find relevant studies. Meta-analysis and meta-regression analyses were performed using Mantel-Haenszel test for fixed-effect risk ratio (RR) and restricted maximum-likelihood technique, respectively. Protocol Registration Number: CRD42017072560.
    RESULTS: The review included 108 studies and 110,372 participants. Compared to nonactive control groups (eg, usual care), smoking cessation interventions using web-based and mobile health (mHealth) platform resulted in significantly greater smoking abstinence, RR 2.03 (95% CI 1.7-2.03), and RR 1.71 (95% CI 1.35-2.16), respectively. Similarly, smoking cessation trials using tailored text messages (RR 1.80, 95% CI 1.54-2.10) and web-based information and conjunctive nicotine replacement therapy (RR 1.29, 95% CI 1.17-1.43) may also increase cessation. In contrast, little or no benefit for smoking abstinence was found for computer-assisted interventions (RR 1.31, 95% CI 1.11-1.53). The magnitude of effect sizes from mHealth smoking cessation interventions was likely to be greater if the trial was conducted in the USA or Europe and when the intervention included individually tailored text messages. In contrast, high frequency of texts (daily) was less effective than weekly texts.
    CONCLUSIONS: There was consistent evidence that web-based and mHealth smoking cessation interventions may increase abstinence moderately. Methodologic quality of trials and the intervention characteristics (tailored vs untailored) are critical effect modifiers among eHealth smoking cessation interventions, especially for web-based and text messaging trials. Future smoking cessation intervention should take advantages of web-based and mHealth engagement to improve prolonged abstinence.
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  • 文章类型: Journal Article
    BACKGROUND: Hospital websites are important tools in establishing communication and exchanging information between patients and staff, and thus should enjoy an acceptable level of quality. The aim of this study was to identify proper models and criteria to evaluate the quality of hospital websites.
    METHODS: This research was a systematic review study. The international databases such as Science Direct, Google Scholar, PubMed, Proquest, Ovid, Elsevier, Springer, and EBSCO together with regional database such as Magiran, Scientific Information Database, Persian Journal Citation Report (PJCR) and IranMedex were searched. Suitable keywords including website, evaluation, and quality of website were used. Full text papers related to the research were included. The criteria and sub criteria of the evaluation of website quality were extracted and classified.
    RESULTS: To evaluate the quality of the websites, various models and criteria were presented. The WEB-Q-IM, Mile, Minerva, Seruni Luci, and Web-Qual models were the designed models. The criteria of accessibility, content and apparent features of the websites, the design procedure, the graphics applied in the website, and the page\'s attractions have been mentioned in the majority of studies.
    CONCLUSIONS: The criteria of accessibility, content, design method, security, and confidentiality of personal information are the essential criteria in the evaluation of all websites. It is suggested that the ease of use, graphics, attractiveness and other apparent properties of websites are considered as the user-friendliness sub criteria. Further, the criteria of speed and accessibility of the website should be considered as sub criterion of efficiency. When determining the evaluation criteria of the quality of websites, attention to major differences in the specific features of any website is essential.
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