K4Health
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This Digital Health Resource Library houses three legacy collections previously maintained by the Knowledge for Health (K4Health) Project. K4Health’s work was made possible by the support of the American People through the United States Agency for International Development (USAID) . K4Health was supported from 2008-2019 by USAID's Office of Population and Reproductive Health, Bureau for Global Health, under cooperative agreements with the Johns Hopkins University. K4Health was implemented by the Johns Hopkins Center for Communication Programs (CCP) in collaboration with FHI 360, Management Sciences for Health (MSH), and IntraHealth International. The K4Health Project ended in September 2019.
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- Item10 great programs for your PDA.(2006-01-10) Lowes, Robert
- Item10 quick tips for a more user-friendly PDA.(2003-02-11) Chandrashekhar, Anil
- Item10 useful apps for everyday pediatric use.(2012-05-16) Blackmon, Lindsay B
- Item10 uses for personal digital assistants in home care.(2003-12-10) Smith-Stoner, MarilynThis article focuses how clinical staff can use personal digital assistants PDAs to become more organized expand quick reference libraries and have some fun If you ve been wondering if a PDA will help maximize your work efficiently this article is for you
- ItemA 10-year follow up of a paging service for people with memory and planning problems within a healthcare system: how do recent users differ from the original users?(2011-12-14) Martin-Saez, Maria; Deakins, Joe; Winson, Rachel; Watson, Peter; Wilson, Barbara AIn 2003 Wilson Scott Evans and Emslie published a report of a new healthcare resource a paging system designed to reduce the everyday problems of people with neurological deficits who experience memory and or planning problems The system was established following several research studies carried out to evaluate its effectiveness Information was collected on the first 40 clients recruited to the service The purpose of the present study is to determine how the service might have changed over a 10 year period The most recent users of the service N 40 have been compared with the original cohort of 40 clients In addition in 2007 clients were given the opportunity to use their mobile telephones to receive messages 17 chose to do so There was no difference in age between the telephone users compared to the pager users but those using a pager were less likely to have sustained a traumatic brain injury TBI and were more likely to be longer post insult There were no significant differences in the gender or ages of the people using the pager compared with those using the telephone service However the mean overall time since injury for the last 40 referrals was 9 48 years compared to 4 56 years for the original cohort Both cohorts comprised several diagnostic groups clients with TBI formed the largest subgroup followed by those with stroke This is typical of patients seen for rehabilitation with other diagnostic groups forming a smaller percentage We wanted to determine whether the range of diagnoses was similar over the 10 year period Despite slight differences we found a similar range of patients referred In both cohorts the most frequent messages sent each week related to medication 27 9 in the first compared to 28 6 in the second More messages were sent regarding mood management in the second cohort No such messages were sent to the first 40 clients whereas over 27 per week were sent to the last 40 Fewer health authorities N 21 were referring after 10 years in comparison with 26 referrers for the first cohort
- Item11th Annual Symposium on Self-Monitoring of Blood Glucose: April 12-14, 2018, Oslo, Norway.(0000-00-00) Parkin, Christopher G; Homberg, Anita; Hinzmann, RolfA panel of international experts in the field of diabetes and diabetes technology met in Oslo Norway for the 11th Annual Symposium on Self Monitoring of Blood Glucose The goal of these meetings is to share current knowledge facilitate new collaborations and encourage further research projects that can improve the lives of people with diabetes The 2018 meeting comprised a comprehensive scientific program and four keynote lectures
- Item16S rRNA gene pyrosequencing of reference and clinical samples and investigation of the temperature stability of microbiome profiles.(2014-09-17) Hang, Jun; Desai, Valmik; Zavaljevski, Nela; Yang, Yu; Lin, Xiaoxu; Satya, Ravi Vijaya; Martinez, Luis J; Blaylock, Jason M; Jarman, Richard G; Thomas, Stephen J; Kuschner, Robert ASample storage conditions extraction methods PCR primers and parameters are major factors that affect metagenomics analysis based on microbial 16S rRNA gene sequencing Most published studies were limited to the comparison of only one or two types of these factors Systematic multi factor explorations are needed to evaluate the conditions that may impact validity of a microbiome analysis This study was aimed to improve methodological options to facilitate the best technical approaches in the design of a microbiome study Three readily available mock bacterial community materials and two commercial extraction techniques Qiagen DNeasy and MO BIO PowerSoil DNA purification methods were used to assess procedures for 16S ribosomal DNA amplification and pyrosequencing based analysis Primers were chosen for 16S rDNA quantitative PCR and amplification of region V3 to V1 Swabs spiked with mock bacterial community cells and clinical oropharyngeal swabs were incubated at respective temperatures of 80 C 20 C 4 C and 37 C for 4 weeks then extracted with the two methods and subjected to pyrosequencing and taxonomic and statistical analyses to investigate microbiome profile stability
- Item1800 MHz radiofrequency (mobile phones, different Global System for Mobile communication modulations) does not affect apoptosis and heat shock protein 70 level in peripheral blood mononuclear cells from...(2004-09-14) Capri, M; Scarcella, E; Bianchi, E; Fumelli, C; Mesirca, P; Agostini, C; Remondini, D; Schuderer, J; Kuster, N; Franceschi, C; Bersani, FTo study if prolonged in vitro exposure to 1800MHz radiofrequency RF could exert an effect on human peripheral blood mononuclear cells PBMC from young and elderly donors by affecting apoptosis mitochondrial membrane potential and heat shock protein HSP 70 levels
- Item18FDG SPECT to assess myocardial viability: initial experience at a hospital remote from a cyclotron.(2001-02-15) Thorley, P J; Beacock, D J; Trickett, C A; Sivananthan, U M18F Fluorodeoxyglucose positron emission tomography 18FDG PET is the recognized gold standard for the assessment of myocardial viability but is not widely available in the UK FDG imaging on a gamma camera with high energy collimators FDG SPECT has been shown to have an accuracy comparable with that of FDG PET for the assessment of myocardial viability This study was performed to assess the feasibility of introducing FDG SPECT for myocardial viability at a hospital a considerable distance away from a cyclotron 200 miles Twenty three patients who were being actively considered for revascularization but had demonstrated fixed defects on stress rest with nitrate tetrofosmin imaging underwent FDG SPECT Image quality was acceptable in all patients Nine out of the 23 patients with defects classed as fixed on tetrofosmin imaging demonstrated viability on FDG SPECT Six of these nine patients reported to have some viable myocardium on FDG SPECT underwent revascularization as a result This study has demonstrated that FDG SPECT is feasible at a site some distance from a cyclotron
- Item1Q[3a]. Should doctors be paid for computer consultations?(2003-02-06) Cherney, Becky; Colella, Giovanni; Pisano, Susan
- Item2-GHz band CW and W-CDMA modulated radiofrequency fields have no significant effect on cell proliferation and gene expression profile in human cells.(2010-05-27) Sekijima, Masaru; Takeda, Hiroshi; Yasunaga, Katsuaki; Sakuma, Noriko; Hirose, Hideki; Nojima, Toshio; Miyakoshi, JunjiWe investigated the mechanisms by which radiofrequency RF fields exert their activity and the changes in both cell proliferation and the gene expression profile in the human cell lines A172 glioblastoma H4 neuroglioma and IMR 90 fibroblasts from normal fetal lung following exposure to 2 1425 GHz continuous wave CW and Wideband Code Division Multiple Access W CDMA RF fields at three field levels During the incubation phase cells were exposed at the specific absorption rates SARs of 80 250 or 800 mW kg with both CW and W CDMA RF fields for up to 96 h Heat shock treatment was used as the positive control No significant differences in cell growth or viability were observed between any test group exposed to W CDMA or CW radiation and the sham exposed negative controls Using the Affymetrix Human Genome Array only a very small Under 1 number of available genes ca 16 000 to 19 000 exhibited altered expression in each experiment The results confirm that low level exposure to 2 1425 GHz CW and W CDMA RF fields for up to 96 h did not act as an acute cytotoxicant in either cell proliferation or the gene expression profile These results suggest that RF exposure up to the limit of whole body average SAR levels as specified in the ICNIRP guidelines is unlikely to elicit a general stress response in the tested cell lines under these conditions
- ItemThe 2005 'Last Chance Bravo' bioterrorism exercise.(2007-03-15) Balch, David; Rosenthal, David; Taylor, CarlThe 2005 Last Chance Bravo bioterrorism exercise provided a forum for testing advanced technologies in a simulated disaster The four day exercise included a 2 day simulated pneumonic plague outbreak with 50 participants from the Montana Department of Health and Human Services 20 participants from various hospital organizations and approximately 150 participants from over 40 telemedicine sites Telephone communications and Web tools supported much of the critical information exchange Videoconferencing added an element of image sharing for pathology radiology and geospatial mapping During the exercise three telehealth networks facilitated a telemedicine session to over 40 sites across Montana Because of the large number of telehealth sites participating the videoconference session became more like an informational news broadcast The ability of telemedicine to support image and data sharing may be a significant advantage over simple telephone communications in disaster response
- Item2010 ENA National Scorecard on State roadway laws: a blueprint for injury prevention.(2011-03-14) Nally, T L
- Item2010 Survey on cell phone use while performing cardiopulmonary bypass.(2011-09-08) Smith, T; Darling, E; Searles, BCell phone use in the U S has increased dramatically over the past decade and text messaging among adults is now mainstream In professions such as perfusion where clinical vigilance is essential to patient care the potential distraction of cell phones may be especially problematic However the extent of this as an issue is currently unknown Therefore the purpose of this study was to 1 determine the frequency of cell phone use in the perfusion community and 2 to identify concerns and opinions among perfusionists regarding cell phone use In October 2010 a link to a 19 question survey surveymonkey com was posted on the AmSECT PerfList and Perfusion com PerfMail forums There were 439 respondents Demographic distribution is as follows Chief Perfusionist 30 5 Staff Perfusionist 62 0 and Other 7 5 with age ranges of 20 30 years 14 2 30 40 years 26 5 40 50 years 26 7 50 60 years 26 7 60 years 5 9 The use of a cell phone during the performance of cardiopulmonary bypass CPB was reported by 55 6 of perfusionists Sending text messages while performing CPB was acknowledged by 49 2 with clear generational differences detected when cross referenced with age groups For smart phone features perfusionists report having accessed e mail 21 used the internet 15 1 or have checked posted on social networking sites 3 1 while performing CPB Safety concerns were expressed by 78 3 who believe that cell phones can introduce a potentially significant safety risk to patients Speaking on a cell phone and text messaging during CPB are regarded as always an unsafe practice by 42 3 and 51 7 of respondents respectively Personal distraction by cell phone use that negatively affected performance was admitted by 7 3 whereas witnessing another perfusionist distracted with phone text while on CPB was acknowledged by 33 7 of respondents This survey suggests that the majority of perfusionists believe cell phones raise significant safety issues while operating the heart lung machine However the majority also have used a cell phone while performing this activity There are clear generational differences in opinions on the role and or appropriateness of cell phones during bypass There is a need to further study this issue and perhaps to establish consensus on the use of various communication modes within the perfusion community
- Item2011 Most Wired Innovator Awards.(2011-09-20) Page, Douglas
- ItemThe 2011 Tuscaloosa tornado: integration of pediatric disaster services into regional systems of care.(2012-08-24) Kanter, Robert KOBJECTIVE To empirically describe the integration of pediatric disaster services into regional systems of care after the April 27 2011 tornado in Tuscaloosa Alabama a community with no pediatric emergency department or pediatric intensive care unit and few pediatric subspecialists STUDY DESIGN Data were obtained in interviews with key informants including professional staff and managers from public health and emergency management agencies prehospital emergency medical services fire departments hospital nurses physicians and the trauma program coordinator RESULTS A single hospital in Tuscaloosa served 800 patients on the night of the tornado More than 100 of these patients were children including more than 20 with critical injuries Many children were unaccompanied and unidentified on arrival Resuscitation and stabilization were performed by nonpediatric prehospital and emergency department staff More than 20 children were secondarily transported to the nearest children s hospital an hour s drive away under the care of nonpediatric local emergency medical services providers No preventable adverse events were identified in the resuscitation and secondary transport phases of care Stockpiled supplies and equipment were adequate to serve the needs of the disaster victims including the children CONCLUSION Essential aspects of preparation include pediatric specific clinical skills supplies and equipment operational disaster plans and interagency practice embedded in everyday work Opportunities for improvement identified include more timely response to warnings improved practices for identifying unaccompanied children and enhanced child safety in shelters Successful responses depended on integration of pediatric services into regional systems of care
- ItemThe 2012 Retirement Confidence Survey: job insecurity, debt weigh on retirement confidence, savings.(2012-05-03) Helman, Ruth; Copeland, Craig; VanDerhei, JackAmericans confidence in their ability to retire comfortably is stagnant at historically low levels Just 14 percent are very confident they will have enough money to live comfortably in retirement statistically equivalent to the low of 13 percent measured in 2011 and 2009 Employment insecurity looms large Forty two percent identify job uncertainty as the most pressing financial issue facing most Americans today Worker confidence about having enough money to pay for medical expenses and long term care expenses in retirement remains well below their confidence levels for paying basic expenses Many workers report they have virtually no savings and investments In total 60 percent of workers report that the total value of their household s savings and investments excluding the value of their primary home and any defined benefit plans is less than 25 000 Twenty five percent of workers in the 2012 Retirement Confidence Survey say the age at which they expect to retire has changed in the past year In 1991 11 percent of workers said they expected to retire after age 65 and by 2012 that has grown to 37 percent Regardless of those retirement age expectations and consistent with prior RCS findings half of current retirees surveyed say they left the work force unexpectedly due to health problems disability or changes at their employer such as downsizing or closure Those already in retirement tend to express higher levels of confidence than current workers about several key financial aspects of retirement Retirees report they are significantly more reliant on Social Security as a major source of their retirement income than current workers expect to be Although 56 percent of workers expect to receive benefits from a defined benefit plan in retirement only 33 percent report that they and or their spouse currently have such a benefit with a current or previous employer More than half of workers 56 percent report they and or their spouse have not tried to calculate how much money they will need to have saved by the time they retire so that they can live comfortably in retirement Only a minority of workers and retirees feel very comfortable using online technologies to perform various tasks related to financial management Relatively few use mobile devices such as a smart phone or tablet to manage their finances and just 10 percent say they are comfortable obtaining advice from financial professionals online
- ItemA 21st century approach to tackling dengue: Crowdsourced surveillance, predictive mapping and tailored communication.(2016-01-06) Lwin, May O; Vijaykumar, Santosh; Fernando, Owen Noel Newton; Cheong, Siew Ann; Rathnayake, Vajira Sampath; Lim, Gentatsu; Theng, Yin-Leng; Chaudhuri, Subhasis; Foo, SchubertThis paper describes a social media system to prevent dengue in Sri Lanka and potentially in the rest of the South and Southeast Asia regions The system integrates three concepts of public health prevention that have thus far been implemented only in silos First the predictive surveillance component uses a computer simulation to forewarn health authorities and the general public about impending disease outbreaks The civic engagement component allows the general public to use social media tools to interact and engage with health authorities by aiding them in surveillance efforts by reporting symptoms mosquito bites and breeding sites using smartphone technologies The health communication component utilizes citizen data gathered from the first two components to disseminate customized health awareness messages to enhance knowledge and increase preventive behaviors among citizens The system known as Mo Buzz will be made available on a host of digital platforms like simple mobile phones smart phones and a website We present challenges and lessons learnt including content validation stakeholder collaborations and applied trans disciplinary research