Day 1 :
- Telemedicine, eHealth & Health Informatics
Session Introduction
Avi Lamb
University of Miami Miller School of Medicine, Miami, FL, United States
Title: A Patient Education Intervention program to increase Menopause Knowledge and improve Shared Decision Making in Women
Biography:
Stuti Dang is an experienced geriatrician and researcher, and the Associate Director for Implementation and Outcomes Research in the Geriatrics Research Education and Clinical Center (GRECC) at the Miami VA Healthcare System. She has been a PI or co-investigator on multiple projects funded by the VA, NIH, and DOD for implementing care models that leverage technology for high need veterans with complex chronic conditions and their caregivers. She has extensive expertise in caregiver issues, care coordination, and telehealth interventions for chronic disease management in the elderly. She seeks to understand the needs and need gaps of frail, older, high-need high-risk veterans and their caregivers to allow aging in place.
Abstract:
Background: In North America, there are approximately 30 million women in the menopausal age range of 40-54 years. Since menopause can be a time of changes, women may be interested in receiving information regarding menopause and management of associated symptoms such as hot flashes, mood instability and vaginal dryness. Although there are ways to alleviate these symptoms, many women, due to their limited knowledge related to menopause, are not aware of these treatment options nor able to determine which options would be best for them. Many healthcare providers fail to identify women who may present with menopausal symptoms, thus failing to offer them treatments to alleviate these symptoms.
Methods: We developed at the Miami VA healthcare system, a project called the “My HealtheVet to Enable And Negotiate for Shared decision making” or MEANS project, an unblinded non-randomized pilot project, to deliver an educational intervention program surrounding the management of menopause. The project identified female veterans of perimenopausal and menopausal age (45 to 60 years) at three VA Health Systems (VAHS) – Miami, Orlando, and West Palm Beach. The six-month intervention provided educational resources on menopause and shared decision making (SDM) through the MyHealtheVet electronic portal system to women in the Miami VAHS only. Following the intervention, data regarding patient knowledge and use of the MyHealtheVet portal was collected. The project compared the impact of the MEANS intervention on patients at the Miami VAHS to women veterans of the same age who did not receive this intervention across the three VAHS sites.
Results: At the initiation and conclusion of the study, participants completed a test assessing their knowledge of menopause. This test was scored out of 18 points, with a higher score indicating a higher level of knowledge. At the beginning of the intervention, the average score was 14.7 with a standard deviation of 2.4. Following the intervention, the average score increased to 15.8 with a standard deviation of 1.8. Along with knowledge tests, women were asked to rate their perceived understanding of menopausal symptoms and the associated treatment options. Women rated their knowledge to be higher following the intervention, suggesting that the MEANS project increased participants’ confidence in their understanding of menopause. In addition, the MEANS project increased understanding of Shared Decision Making (SDM), and increased use of the MyHealtheVet portal among participants.
Conclusions: These findings are promising and suggest that an educational intervention could be effective in increasing women veterans’ access to treatment for the symptoms of menopause.
Allal Tiberkak
University Dr. Yahia Fares Medea, Algeria.
Title: Emergency Management System in Smart Cities by Coupling OUPnP and WebRTC
Biography:
Mr. TIBERKAK Allal holds a Diploma of Engineering in Computer Science from the “National Institute of Computer Science (INI)” (Algeria, 2005) and a Diploma of Magister degree in Computer Science from the “University of Sciences and Technology Houari Boumediene (USTHB)” (Algeria, 2009). He has finished the work on his Ph.D. thesis in Computer Science from the same university (USTHB) since July 2018, and he is waiting for defending it. TIBERKAK works is assistant professor for the “University of Dr. Yahia Fares of Medea” in Algeria. In addition, since November 2010, Mr. TIBERKAK is a research associate with the “Computer Systems Laboratory, Faculty of Electronics and Computer science (USTHB)”. Currently, he is member of two projects “Platform for e-maintenance of industrial equipments by Augmented Reality” and “Digital identity and IoT-based services”. His researches mainly focus on Smart home, Home healthcare, Multimedia on Internet, Network security and privacy, Internet and Web of Thing.
Abstract:
Emergency happen in cities or out of cities, may be caused by car accident, fall or other reasons. However, it is strongly recommended to deal with the situation as soon as it is possible to reduce humane damages. Besides, it is highly preferable for the health care-giver to have enough information about the incident before he arrives at the patient. In the proposed scenario, first someone announces the accident, then healthcare-giver move by motorcycle to the place of the accident to diagnose the situation and to give primary help. The help giver may ask for transporting the patient to hospital by ambulance. In this scenario we are facing two main problems. The first one is the localization of the accident, the healthcare-giver, the ambulance, the hospital and other resources, the second one is the communication of information about the accident between different actors (healthcare-giver, medical team in the ambulance, and medical team in the hospital, etc.) To remedy this problem we propose the use of OUPnP (Outdoor UPnP for Services Discovery in Smart Cities) for discovering resources and WebRTC to enable communication between actors. WebRTC permits the communication between the accident announcer and the healthcare-givers with motorcycle to exchange information about the accident (video, image, voice). Once the healthcare-giver with a motorcycle arrives at the place of the accident, he starts giving help and setup medical devices for diagnosis the patient; he can ask for transporting of the patient to a hospital. Thus, he can share information about the accident with the ambulance team and the hospital team via WebRTC. Moreover, ambulance team and the hospital team can use WebRTC to access directly to medical devices to retrieve data in real-time. However, OUPnP permits discovering resources (the healthcare-giver that could give the fastest help, the nearest hospital that can receive the patient, best communications parameters for WebRTC sessions, etc.)
Omid Panahi
Department of Oral and Maxillofacial Surgery, istanbul,turkey
Title: Information Technology and its application in Dentistry
Biography:
Dr.Omid Panahi , Graduated from Centro Escolar University on 2013 in field of Doctor of Dental Mediciene( DMD), and MSc Oral and maxillofacial surgery at yeditepe university, Istanbul, turkey. He has published more than 40 papers in reputed journals & Conferences and has been serving as an editorial board member of isi journals.
Abstract:
Nowadays, the use of digital equipment and information technology (IT) has increased in dental offices. It significantly requires sufficient knowledge of dentists on computer sciences and digital dental programs.
Modern technologies are replaced to traditional dental treatments, and advances in information technology enabled the dentists to work with digital technologies including digital radiography, wireless networks to transmit and store data which is convenient for both dentist and patient, cone beam computed tomography (CBCT), offering volumetric data on jaw bones and teeth with relatively low radiation doses and costs, archiving and recording information of patients for an easy access of the dentist and queue management system which is an important factor in saving the patients’ time.
This study aimed to investigate the role of information technology in dentistry, and its advantages, limitations and strategies to improve the use of this technology and applicable programs in dental offices. It should be noted that the use of information technology in dentistry plays an important role in improving the therapeutic efficiency, and therefore dentists must have the required knowledge to select and apply the related tools.
Harsha Jayakody
Asia e University, Malaysia
Title: A Study On Using Telemedicine For Healthcare Among General Public In Western Province, Sri Lanka
Biography:
Dr. Harsha Jayakody, MBBS graduate in 2008, from University of Sri Jayawardenepura, Sri Lanka. He has more than 12 years of clinical experience in Medical field. He is the Founder/ Director of “MyDoctor” – A digital healthcare platform in Sri Lanka. Currently he is reading a MSc in Biomedical Informatics at Post Graduate Institute of Medicine, University of Colombo, Sri Lanka (Will be completing on 30th Sep 2019). He has completed a MBA in Health Administration at Asia-e University, Malaysia.
Abstract:
Introduction
In the era of technology, most service fields have digitalized their systems to provide a more convenient, faster and safer service of better quality to their clients. However, Sri Lankans have not adapted to Telemedicine field as fast. Past literature indicated a lack of research conducted related to Sri Lankan Telemedicine field, therefore this research aimed to fill that gap. Objective was to find the relationship between knowledge, satisfaction, attitudes of Telemedicine and efficiency & effectiveness of a Teleconsultation.
Method
This was a quantitative descriptive cross-sectional study conducted among 390 participants via a self-filled online questionnaire. The study examined the level of knowledge, satisfaction and attitudes of general public towards Telemedicine and analyzed the relationship of each variable with efficiency and effectiveness of Teleconsultation.
Results
Majority of the population (257 out of 390) had no previous experience with Telemedicine. There was no significant relationship between the use of Telemedicine and age (p=0.54), gender (p=0.703), and income (p=0.7.86). Majority of the people has a good knowledge, high satisfaction and a positive attitude towards Telemedicine. They find Telemedicine is effective and efficient. There were statistically significant relationships between knowledge and efficiency (p=0.001), knowledge and effectiveness (p<0.001), satisfaction and efficiency (p<0.001), satisfaction and effectiveness (p<0.001), attitudes and efficiency (p<0.001) & attitudes and effectiveness (p<0.001).
Conclusion
Age, gender, and income are not barriers to use Telemedicine. Better knowledge, greater satisfaction, and positive attitudes improve the effectiveness and efficiency of Teleconsultations.
Implications
Based on the factors that have been tested, spreading and improving the awareness of Telemedicine is the only measure that can help the growth of Telemedicine in Sri Lanka. Given the current circumstances, it is essential for Telemedicine service providers to give priority on improving awareness at the same time working on implementations. As this study identifies, taking measures toward a greater patient satisfaction in essential for an effective delivery of Teleconsultation.