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Wuhan citizens frequently searched for content related to "medical help," "protective materials," and "pandemic progress." Web searches for "return to work" and "go back to school" have increased eight-fold compared to the previous month. Searches for content related to "closed community and remote office" have continued to rise, and searches for "remote office demand" have risen by 663% from the previous quarter. Employees who have returned to work have mainly engaged in the following web searches "return to work and prevention measures," "return to work guarantee policy," and "time to return to work." Provinces with large, educated populations (eg, Henan, Hebei, and Shandong) have been focusing on "online education" whereas medium-sized cities have been paying more attention to "online medical care." Conclusions Our findings suggest that web search data may reflect changes in health literacy, social panic, and prevention and control policies in response to COVID-19.Background Sarcopenia, defined as the age-associated loss of muscle mass and strength, can be effectively mitigated through resistance-based physical activity. With compliance at ~40% for home-based exercise prescriptions, implementing a remote-sensing system would help patients and clinicians understand treatment progress and increase compliance. Inclusion of end users in the development of mobile applications for remote sensing systems can ensure that they are both user-friendly and facilitate compliance. With advancements in natural-language processing (NLP) there is potential for these methods to be used with data collected through the user-centered design process. Objective The objective of our study was to develop a mobile application for a novel device through a user-centered design process with both older adults and clinicians while exploring if data collected through this process can be used in natural language processing and sentiment analysis methods. Methods Through a user-centered design process,logy for older adults.Background In 2017, 9% of the population of adults with diabetes could receive digital care. By 2045, digital care will increase by 48%. One Drop's (OD) digital care solution includes an evidence-based mobile app, a Bluetooth-connected glucometer, and in-app coaching from Certified Diabetes Educators. Using OD is associated with a 3-mo. -22.2 mg/dL (-.80% eA1c) among people with type 1 diabetes (T1D) and eA1c ≥ 7.5%. The added value of integrated activity trackers is unknown. Objective We conducted a pragmatic, remotely administered, randomized control trial to evaluate One Drop with a new-to-market activity tracker on the A1c of adults with T1D. Methods Social media advertisements and online newsletters recruited adults (≥ 18 years old) diagnosed (≥ 1 year) with T1D, naïve to OD's full solution and the activity tracker with lab A1c ≥ 7%. Participants (N = 99) were randomized to get OD plus activity tracker at study start or OD at start and an activity tracker after 3 mos. Multiple imputation, performed separhan alone in helping people with T1D. Clinicaltrial Registration NCT03459573, https//clinicaltrials.gov/ct2/show/NCT03459573.The global spread of the coronavirus disease (COVID-19) outbreak poses a public health threat and has affected people worldwide in various unprecedented ways, both personally and professionally. There is no question that the current global COVID-19 crisis, now more than ever, is underscoring the importance of leveraging digital approaches to optimize pediatric health care delivery in the era of this pandemic. In this perspective piece, we highlight some of the available digital approaches that have been and can continue to be used to streamline remote pediatric patient care in the era of the COVID-19 pandemic, including but not limited to telemedicine. JMIR Pediatrics and Parenting is currently publishing a COVID-19 special theme issue in which investigators can share their interim and final research data related to digital approaches to remote pediatric health care delivery in different settings. The COVID-19 pandemic has rapidly transformed health care systems worldwide, with significant variations and innoo violence and child neglect; and integration of training into undergraduate and graduate medical education and subspecialty fellowships. Addressing these research areas is essential to understanding the benefits, sustainability, safety, and optimization strategies of telemedicine and other digital approaches as key parts of modern health care delivery. These efforts will inform long-term adoption of these approaches with expanded dissemination and implementation efforts.Background Public health authorities (PHAs) have been recommending interventions such as physical distancing and face masks, to curtail the transmission of coronavirus disease (COVID-19) within the community. Public perceptions towards such interventions are to be identified so that PHAs can effectively address valid concerns. The Health Belief Model (HBM) has been used to characterize user-generated content from social media during previous outbreaks, to understand health behaviors of people. Objective This study is aimed at developing and evaluating deep learning-based text classification models for classifying social media content posted during the COVID-19 outbreak, using the key four constructs of HBM. We specifically focus on content related to the physical distancing interventions put forth by PHAs. We intend to test the model with a real-world case study. Methods The dataset for this study was prepared by analyzing Facebook comments which were posted by the public in response to the COVID-19 posts of ity was above 96% for all HBM constructs. Sensitivity was 94.3% and 90.9% for perceived severity and perceived benefits while for perceived susceptibility and perceived barriers, it was 79.6% and 81.5%. The classification models were able to accurately predict the trends in the prevalence of the constructs for the examined days in the case study. Conclusions The deep learning-based text classifiers developed in this study help in getting an understanding of the public perceptions towards physical distancing, using the four key constructs of HBM. Health officials can make use of the classification model to characterize health behaviors of public through the lens of social media. In future studies, we intend to extend the model for studying public perceptions on other important interventions of PHAs.Background As young adults living with perinatal HIV (PHIV) or perinatal HIV exposure but uninfected (PHEU) grow older and manage the challenges and competing demands of young adulthood, new approaches are needed to facilitate their retention in longitudinal research and clinical care beyond in-person clinic visits. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the novel virus that causes coronavirus disease (COVID-19), emerged in the United States in January 2020 and has underscored this need; studies are adapting to remote communication with and data collection from participants. However, there are limited data on communication preferences among young adults who are living with PHIV or PHEU. Objective The objectives of this qualitative study were to describe participants' perceptions and use of social media and technology in their personal lives and in the context of participating in longitudinal pediatric HIV research and to describe the implications of the use of technology and social meditaff should consider communication approaches offering flexible and tailored options for young adults participating in HIV research.Background Access to comprehensive exercise and rehabilitation services for people with multiple sclerosis (MS) remains a major challenge, especially in rural, low-income areas. Hence, the Tele-Exercise and Multiple Sclerosis (TEAMS) study aims to provide patient-centered, coordinated care by implementing a 12-week complementary and alternative medicine (CAM) intervention for adults with MS. However, due to the societal impact of coronavirus disease (COVID-19) in mid-March 2020, the University of Alabama at Birmingham announced a limited business model halting all nonessential research requiring on-site visits, which includes the TEAMS study. Objective In compliance with the shelter-in-place policy and quarantine guidance, a modified testing and training protocol was developed to allow participants to continue the study. Methods The modified protocol, which replaces on-site data collection and training procedures, includes a teleassessment package (computer tablet, blood pressure cuff, hand dynamometer, mini g for 92.5% of our baseline testing completion target (N=820). Specifically, 325 participants completed the 12-week intervention and follow-up testing visits, and 289 participants needed to complete either the intervention or follow-up assessments. A modified analysis plan will include sensitivity analyses to ensure the robustness of the study results in the presence of uncertainty and protocol deviations. Study results are projected to be published in 2021. Conclusions This modified remote teleassessment/teletraining protocol will impact a large number of participants with MS who would otherwise have been discontinued from the study. Trial registration ClinicalTrials.gov NCT03117881; https//clinicaltrials.gov/ct2/show/NCT03117881. International registered report identifier (irrid) DERR1-10.2196/18415.Background In the midst of COVID-19 pandemic, emerging clinical data across the globe has equipped front line health care workers, policy makers and researchers to better understand and combat the illness more prepared. Objective Correlation of clinical and laboratory parameters with patients requiring mechanical ventilation and mortality in patients infected with SARS-CoV-2. Methods Review of patients with SARS-CoV-2 confirmed infection admitted and managed by our institution during the last month. selleck products Patients were grouped into intubated and non-intubated and sub grouped to alive and deceased. Comprehensive analysis using the following parameters were performed, Age, Sex, Ethnicity, Body Mass Index (BMI), Comorbidities, Inflammatory markers, Laboratory values, cardiac and renal function, electrocardiogram (EKG), Chest x ray findings, temperature, treatment groups, hospital acquired SARS-CoV-2 patients. Results A total of 184 patients were included in our study with age ranging from 28-97 years, mean of 64.72, 7 EKG findings with arrhythmias/block P= .02. Conclusions We arrived at the following conclusions based on a comprehensive review of our study group, data collection and statistical analysis. Parameters that were strongly correlated with the need for mechanical ventilation were younger age group, overweight, Hispanic ethnicity, higher core body temperature , EKG findings with sinus tachycardia and bilateral diffuse pulmonary infiltrates on the CXR. Those intubated exhibited increased disease severity with significantly elevated levels of serum Procalcitonin, C reactive protein (CRP), Lactate Dehydrogenase (LDH), Mean glucose, Creatinine, Blood urea nitrogen (BUN). Mortality was strongly correlated with BMI, African American ethnicity, Hypertension, presence of multiple comorbidities with a mean of 2.32, worsening renal function with acute kidney injury or acute on chronic kidney injury and EKG findings of arrhythmias and heart blocks.
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