1.Current situation and trend of medical laboratory results homogeneity management.
Jin Jin WANG ; Li Ming XU ; Wan Jun YU ; Qing KE ; Qian GONG
Chinese Journal of Preventive Medicine 2023;57(9):1504-1509
Medical test results are indispensable and important tools in diagnosis and treatment services. It is necessary to promote the homogenization of test results first, because homogenization is the basis for mutual recognition of test results. Mutual recognition of medical test results can help share resources among medical institutions, provide more reliable test results for early prevention, screening and treatment of diseases, and reduce repeated tests, thus improving people's medical experience. In recent years, with the deepening of medical system reform and the promotion of graded diagnosis and treatment, governments have continuously introduced policies of mutual recognition of test results around country. However, homogenization is a prerequisite for mutual recognition of test results, with the emergence of intelligent medicine in the era of internet big data, opportunities and challenges coexist in the development of homogeneity management. In the future, the homogeneity of medical test results will present a trend of digitalization, automation, informatization and intelligence.
Humans
;
Big Data
;
Government
;
Internet
2.Evaluation of the effect of internet-based dietary self-management on blood pressure in high-risk population of hypertension in Haikou City community.
Li Min HE ; You Xuan YAN ; Chan Juan ZHAO ; Xue Li ZHU ; Bi Feng LIANG ; Guo Tian LIN ; Jun Cai CHEN ; Fan ZHANG
Chinese Journal of Preventive Medicine 2023;57(10):1581-1589
To explore the effect of Internet+diet self-management intervention technology on the blood pressure control of hypertension high-risk population through the intervention of hypertension high-risk population in Haikou City community, so as to provide scientific evidence for the prevention and treatment of cardiovascular diseases (CVD). The multi-stage cluster sampling method was used, and 295 hypertension high-risk participants were recruited from 15 communities in Haikou City from July to December 2021. The 15 communities were randomly divided into three groups: blank group, traditional group and Internet plus group by random number table method. The blank group referred to the group (99 participants) that did not take special intervention measures but the routine interventions in accordance with the "National Basic Public Health Service Standards (the Third Edition) Health Education Service Standards". On the basis of the blank group, the traditional group (95 participants) was intervened by giving additional traditional methods such as holding lectures and distributing popular science books. The Internet plus group (101 participants) was given additional Internet measures on the basis of the intervention of the traditional group. After 6 months, questionnaires, laboratory biochemical tests, and physical measurements were conducted. SPSS 25.0 software was applied for data analysis. Measurement data that followed normal distribution were statistically described by using mean±standard deviation, analysis of variance was used for inter group comparisons before intervention, analysis of covariance was used for inter group comparisons after intervention, and Bonferroni adjustment was used for pairwise comparisons between groups. Measurement data that did not follow the Normal distribution were represented by M (Q1, Q3). The rank sum test was used for inter group comparison. The k sample Kruskal Wallis single factor ANOVA was used to compare the distribution between different groups. Counting data were described by composition ratio or rate. Under the premise of balanced comparison between groups before intervention, Chi-squared test was used for inter group comparison after intervention, and Bonferroni adjustment method was used for pairwise comparison between groups. The results showed that a total of 295 participants were included, with males accounting for 35.6% (105) and females accounting for 64.4% (190). The age ranged from 55 to 74 years old, with an average age of (64.69±5.73) years. The number of married accounted for 95.6% (282 participants). There were no statistically significant differences in gender, age, family history, education level, occupation, marital status, drinking habits, regular exercise, dietary status, SBP (systolic blood pressure), DBP (diastolic blood pressure), pulse pressure difference, BMI (body mass index), folic acid, and 24-hour urine sodium among the three groups upon enrollment (P values>0.05). After the intervention, the drinking rate was as follows: Internet plus group (29, 28.7%)
Male
;
Female
;
Humans
;
Middle Aged
;
Aged
;
Blood Pressure
;
Self-Management
;
Hypertension/prevention & control*
;
Cardiovascular Diseases/prevention & control*
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Diet
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Sodium
;
Internet
;
Folic Acid
3.Profile of National Center for Mental Health (NCMH) employees‘ dependents on internet use
Raymond Joseph S. Valdez ; Gia Pauline S Castillo-Mojica ; Venus Serra-Arain
The Philippine Journal of Psychiatry 2023;4(1-2):48-
Objectives:
This study aimed to determine the sociodemographic profile and theprevalence of internet use among the NCMH employees’ dependents.
Methodology:
This was a descriptive study of NCMH employees’ dependents from10-40 years old who lived in the same household and spoke English, selecting them throughrandom sampling and using the 8 -item Internet Addiction Diagnostic Questionnaire. Onlynon-essential computer / internet usage was evaluated and addiction was consideredpresent if patient answered 5 or ore of the questions over a 6- month period.
Results:
There were 100 respondents who qualified with 52% females and 48% males.Eighty five percent were 30 years old and below but almost equally distributed betweenthose from 10- 20 years old (45%) and those from 21- 30 years old (40%); but most of them (45%) had reached college though not all graduated (38%). Majority (83% ) wereRoman Catholics and 76% were single. There were 78 (78%) respondents who hadproblematic internet use.
Conclusion
The prevalence of problematic internet use among dependents of NCMHemployees was quite high.
Internet Use
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Surveys and Questionnaires
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Mental Health
4.Association of internet gaming disorder to depression, anxiety and stress among Filipino adolescents in selected public high schools in Pasay City
Health Sciences Journal 2023;12(2):100-111
Introduction:
This study determined the relationship of personal factors and gaming factors with Internet
Gaming Disorder (IGD). It aimed to provide information on the association of IGD with depression, anxiety, stress and both depression and anxiety among adolescent gamers.
Methods:
This was an analytic cross-sectional study among 560 14-18-year-old adolescents from two
public high schools in Pasay City that used the Internet Gaming Disorder Scale–Short-Form (IGDS9-SF),
Depression, Anxiety and Stress Scale-21 items (DASS-21) and gamer profile questionnaires.
Results:
The prevalence of Internet Gaming Disorder (IGD) was low at 1.1%, while moderate depression
was observed in 67%, stress in 46.8%, both depression and anxiety in 64.8%, and high anxiety in 89.3%
among adolescents. Using multiple logistic regression to control the effects of possible confounders, the
association of IGD with depression (OR 0.971, 95% CI 0.085-11.084, p-value .981), anxiety (OR 6.0x107,
p-value .999), stress (OR 6.135, 95% CI 0.373-100.991, p-value .204) and both depression and anxiety
(OR 1.027, 95% CI 0.089-11.846, p-value .983) were not statistically significant.
Conclusion
The odds of depression, anxiety, stress and both depression and anxiety were higher among
those with IGD as compared to those without IGD. However, it is not statistically significant. This study
recommended further validation of the new IGD definition in the local setting and longitudinal studies
with a larger population to determine other factors associated with mental disorders.
Adolescent
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Internet
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Depression
;
Anxiety
5.Development of intelligent monitoring system based on Internet of Things and wearable technology and exploration of its clinical application mode.
Lixuan LI ; Hong LIANG ; Yong FAN ; Wei YAN ; Muyang YAN ; Desen CAO ; Zhengbo ZHANG
Journal of Biomedical Engineering 2023;40(6):1053-1061
Wearable monitoring, which has the advantages of continuous monitoring for a long time with low physiological and psychological load, represents a future development direction of monitoring technology. Based on wearable physiological monitoring technology, combined with Internet of Things (IoT) and artificial intelligence technology, this paper has developed an intelligent monitoring system, including wearable hardware, ward Internet of Things platform, continuous physiological data analysis algorithm and software. We explored the clinical value of continuous physiological data using this system through a lot of clinical practices. And four value points were given, namely, real-time monitoring, disease assessment, prediction and early warning, and rehabilitation training. Depending on the real clinical environment, we explored the mode of applying wearable technology in general ward monitoring, cardiopulmonary rehabilitation, and integrated monitoring inside and outside the hospital. The research results show that this monitoring system can be effectively used for monitoring of patients in hospital, evaluation and training of patients' cardiopulmonary function, and management of patients outside hospital.
Humans
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Artificial Intelligence
;
Internet of Things
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Wearable Electronic Devices
;
Monitoring, Physiologic/methods*
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Electrocardiography
;
Internet
6.Development Opportunities and Challenges of Digital Therapy in China.
Chinese Journal of Medical Instrumentation 2023;47(5):473-477
With the development of new technologies such as the Internet, big data, and AI, digital therapy has gradually developed into an emerging sector in digital diagnosis and treatment. Even 6 years after the global development of digital therapy, numerous problems that need to be solved have been identified through research and investigation. Through comparative analysis of the current development status of digital therapy both domestically and internationally, this study proposes opportunities for its development in China from both policy and technology perspectives, as well as corresponding challenges from the perspectives of cognition, classification, and quality. In response to these challenges, it proposes prospects and suggestions for the future development of digital therapy.
China
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Internet
;
Technology
7.Research Overview of Internet of Things Technology in Medical Engineering.
Wanrong LIU ; Bin LI ; Zhiyong JI
Chinese Journal of Medical Instrumentation 2023;47(5):576-581
Internet of Things plays a vital role in the field of healthcare. Smart medical devices, innovative sensors and lightweight communication protocols are making the Internet of Medical Things possible. This paper summarizes the research progress of Internet of Things technology in medical engineering from two aspects of health monitoring system and ingestible sensor monitoring equipment. The health monitoring system is analyzed from heart disease monitoring, diabetes monitoring and brain nerve monitoring. The medical equipment that can absorb sensors is represented by capsule endoscope. This paper further summarizes the relevant situation of smart hospital, and finally discusses the challenges and countermeasures of the Internet of Things technology in medical engineering, in order to lay the foundation and provide ideas for the research of the Internet of Things technology in medical engineering.
Internet of Things
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Technology
;
Internet
;
Brain
;
Communication
8.Design and implementation of Internet of Things for emergency medical devices based on cloud-edge-device architecture.
Yong FAN ; Hong LIANG ; Jipeng SUN ; Boying ZHANG ; Haiyan ZHU ; Desen CAO ; Zhengbo ZHANG ; Kunlun HE
Journal of Biomedical Engineering 2023;40(1):103-109
Internet of Things (IoT) technology plays an important role in smart healthcare. This paper discusses IoT solution for emergency medical devices in hospitals. Based on the cloud-edge-device architecture, different medical devices were connected; Streaming data were parsed, distributed, and computed at the edge nodes; Data were stored, analyzed and visualized in the cloud nodes. The IoT system has been working steadily for nearly 20 months since it run in the emergency department in January 2021. Through preliminary analysis with collected data, IoT performance testing and development of early warning model, the feasibility and reliability of the in-hospital emergency medical devices IoT was verified, which can collect data for a long time on a large scale and support the development and deployment of machine learning models. The paper ends with an outlook on medical device data exchange and wireless transmission in the IoT of emergency medical devices, the connection of emergency equipment inside and outside the hospital, and the next step of analyzing IoT data to develop emergency intelligent IoT applications.
Internet of Things
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Reproducibility of Results
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Internet
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Machine Learning
;
Technology
9.Analysis of on-demand adherence and related factors in men who have sex with men who access HIV pre-exposure prophylaxis services via the internet.
Qi Zi LIU ; Xue YANG ; Hui XUE ; Hou Lin TANG
Chinese Journal of Epidemiology 2023;44(5):791-796
Objective: To understand the compliancy to on-demand HIV pre-exposure prophylaxis (PrEP) and related factors in men who have sex with men (MSM) accessing to PrEP service through an Internet platform. Methods: A cross-sectional study method was used to recruit survey respondents through the Heer Health platform from July 6 to August 30, 2022, and a questionnaire survey on the current status of medication use was conducted in MSM who use PrEP through the platform and take medication on demand. The MSM's information collected in the survey mainly included socio-demographic characteristics, behavioral characteristics, risk perception characteristics, PrEP awareness and the status of dose taking. Univariate and multivariate logistic regression analyses were used to evaluate factors related with compliancy to PrEP. Results: A total of 330 MSM who met the recruitment criteria were included during the survey period, with a valid response rate of 96.7% (319/330) to the questionnaire survey. The age of the 319 MSM was (32.5±7.3) years. Most of them had education level of junior college or college and above (94.7%, 302/319), most of them were unmarried (90.3%, 288/319), most of them had full-time works (95.9%, 306/319), and 40.8% of them had average monthly income ≥10 000 yuan (130/319). The proportion of the MSM with good compliancy to PrEP was 86.5% (276/319). The results of univariate and multivariate logistic analyses showed that the MSM with good awareness of PrEP had relatively better compliancy to PrEP compared with those with poor awareness of PrEP (aOR=2.43, 95%CI:1.11-5.32). Conclusions: The compliancy to on-demand PrEP was good in MSM who accessed to the services through Internet platform, but there is still a need to strengthen PrEP promotion in MSM for the further improvement of PrEP compliancy and reduction of the risk for HIV infection in this population.
Male
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Humans
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Adult
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HIV Infections
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Cross-Sectional Studies
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Homosexuality, Male
;
Pre-Exposure Prophylaxis
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Sexual and Gender Minorities
;
Internet
10.Design for online monitoring of occupational hazard factors based on internet of things.
Zhi Wei ZENG ; Jing Ming ZHAN ; Xiang Ming XUE ; Qing Dong WU ; Yu Jian DUAN ; Jian Yu FU
Chinese Journal of Industrial Hygiene and Occupational Diseases 2023;41(6):467-471
At present, there are disadvantages with the detection for occupational hazard factors, such as insufficient monitoring data, poor timeliness, weak representativeness, long detection cycles, and inability to continuously monitor. Taking advantages of internet of things technology, an online monitoring platform for occupational hazard factors has been designed. The platform collects the concentration (intensity) of hazard factors through sensors, transmits the occupational hazards data collected online in realtime. The online monitoring cloud center for occupational hazard factors processes and analyzes online monitoring data in realtime, stores the hazard factors data to form database management, and provides user application services to form an intelligent online monitoring service model for occupational hazard factors. Based on the online monitoring platform of occupational hazard factors, multi-level government health supervision departments and employers can grasp the status of hazard factors in real time, which is conducive to improving the level of occupational hazard supervision.
Internet of Things
;
Internet


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