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Article ; Online: 15 Smartphone Apps for Older Adults to Use While in Isolation During the COVID-19 Pandemic

Swechya Banskota / Margaret Healy / Elizabeth M. Goldberg

Western Journal of Emergency Medicine, Vol 21, Iss

2020 Volume 3

Abstract: The maintenance of well-being, healthcare, and social connection is crucial for older adults (OA) and has become a topic of debate as much of the world faces lockdown during the coronavirus disease 2019 (COVID-19) pandemic. OAs have been advised to ... ...

Abstract	The maintenance of well-being, healthcare, and social connection is crucial for older adults (OA) and has become a topic of debate as much of the world faces lockdown during the coronavirus disease 2019 (COVID-19) pandemic. OAs have been advised to isolate themselves because they are at higher risk for developing serious complications from severe acute respiratory syndrome coronavirus. Additionally, nursing homes and assisted-living facilities across the country have closed their doors to visitors to protect their residents. Mobile technology such as applications (apps) could provide a valuable tool to help families stay connected, and to help OAs maintain mobility and link them to resources that encourage physical and mental well-being. Apps could address cognitive, visual, and hearing impairments. Our objective was to narratively summarize 15 apps that address physical and cognitive limitations and have the potential to improve OAs’ quality of life, especially during social distancing or self-quarantine.
Keywords	Medicine ; R ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9 ; covid19
Language	English
Publishing date	2020-04-01T00:00:00Z
Publisher	eScholarship Publishing, University of California
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: 15 Smartphone Apps for Older Adults to Use While in Isolation During the COVID-19 Pandemic.

Banskota, Swechya / Healy, Margaret / Goldberg, Elizabeth M

The western journal of emergency medicine

2020 Volume 21, Issue 3, Page(s) 514–525

Abstract	The maintenance of well-being, healthcare, and social connection is crucial for older adults (OA) and has become a topic of debate as much of the world faces lockdown during the coronavirus disease 2019 (COVID-19) pandemic. OAs have been advised to isolate themselves because they are at higher risk for developing serious complications from severe acute respiratory syndrome coronavirus. Additionally, nursing homes and assisted-living facilities across the country have closed their doors to visitors to protect their residents. Mobile technology such as applications (apps) could provide a valuable tool to help families stay connected, and to help OAs maintain mobility and link them to resources that encourage physical and mental well-being. Apps could address cognitive, visual, and hearing impairments. Our objective was to narratively summarize 15 apps that address physical and cognitive limitations and have the potential to improve OAs' quality of life, especially during social distancing or self-quarantine.
MeSH term(s)	Aged ; Betacoronavirus ; COVID-19 ; Coronavirus ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Coronavirus Infections/transmission ; Disease Outbreaks/prevention & control ; Humans ; Mobile Applications ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Quality of Life/psychology ; Quarantine/psychology ; SARS-CoV-2 ; Severe Acute Respiratory Syndrome/prevention & control ; Severe Acute Respiratory Syndrome/virology ; Smartphone
Keywords	covid19
Language	English
Publishing date	2020-04-14
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2375700-0
ISSN	1936-9018 ; 1936-9018
ISSN (online)	1936-9018
ISSN	1936-9018
DOI	10.5811/westjem.2020.4.47372
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Clinical features and complications of acromegaly at diagnosis are not all the same: data from two large referral centers.

Varlamov, Elena V / Niculescu, Dan Alexandru / Banskota, Swechya / Galoiu, Simona Andreea / Poiana, Catalina / Fleseriu, Maria

Endocrine connections

2021 Volume 10, Issue 7, Page(s) 731–741

Abstract: Purpose: The number of international acromegaly related registries is increasing; however, heterogeneity of acromegaly symptoms and signs across countries is not well described. We compared clinical disease manifestations at diagnosis between two large ... ...

Abstract	Purpose: The number of international acromegaly related registries is increasing; however, heterogeneity of acromegaly symptoms and signs across countries is not well described. We compared clinical disease manifestations at diagnosis between two large University referral centers from two continents. Methods: Retrospective, comparative epidemiological study of acromegaly patients at two centers: (i) C. I. Parhon National Institute of Endocrinology, 'Carol Davila' University of Medicine and Pharmacy Bucharest, Romania (Parhon), and (ii) Pituitary Center, Oregon Health & Science University, Portland, Oregon, United States (OHSU) from approved data repositories was undertaken. Data were extracted from medical charts and questionnaires. Binary logistic regression analysis was undertaken for the most frequently noted symptoms and clinical signs. Results: The study included 216 patients (87 Parhon, 129 OHSU). Age, sex, and median delay in diagnosis were similar between centers. IGF-1 index was higher in patients at Parhon (3.3 vs 2.1, P < 0.001). The top five symptoms at both centers were enlarged hands/feet, headache, arthralgia, fatigue, and irregular menses in women. A significant difference was noted for multiple signs and symptoms frequency, often > 20 percentage points between centers. Center was a predictor of many signs and symptoms, independent of acromegaly biochemical severity or disease duration. Conclusion: We show in the first comparative study that differences in medical practice, documentation, and likely cultural differences can influence patients' symptom(s) reporting and screening patterns in geographically different populations. Pooling data into large multicenter international registry databases may lead to loss of regional characteristics and thus a mixed overall picture of combined cohorts.
Language	English
Publishing date	2021-07-05
Publishing country	England
Document type	Journal Article
ZDB-ID	2668428-7
ISSN	2049-3614
ISSN	2049-3614
DOI	10.1530/EC-21-0035
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: 15 Smartphone Apps for Older Adults to Use While in Isolation During the COVID-19 Pandemic

Banskota, Swechya / Healy, Margaret / Goldberg, Elizabeth M

West J Emerg Med

Abstract	The maintenance of well-being, healthcare, and social connection is crucial for older adults (OA) and has become a topic of debate as much of the world faces lockdown during the coronavirus disease 2019 (COVID-19) pandemic. OAs have been advised to isolate themselves because they are at higher risk for developing serious complications from severe acute respiratory syndrome coronavirus. Additionally, nursing homes and assisted-living facilities across the country have closed their doors to visitors to protect their residents. Mobile technology such as applications (apps) could provide a valuable tool to help families stay connected, and to help OAs maintain mobility and link them to resources that encourage physical and mental well-being. Apps could address cognitive, visual, and hearing impairments. Our objective was to narratively summarize 15 apps that address physical and cognitive limitations and have the potential to improve OAs' quality of life, especially during social distancing or self-quarantine.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #32302279
Database	COVID19

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Article ; Online: 15 Smartphone Apps for Older Adults to Use While in Isolation During the COVID-19 Pandemic

Banskota, Swechya / Healy, Margaret / Goldberg, Elizabeth M.

Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, vol 21, iss 3

2020

Abstract	The maintenance of well-being, healthcare, and social connection is crucial for older adults (OA) and has become a topic of debate as much of the world faces lockdown during the coronavirus disease 2019 (COVID-19) pandemic. OAs have been advised to isolate themselves because they are at higher risk for developing serious complications from severe acute respiratory syndrome coronavirus 2. Additionally, nursing homes and assisted-living facilities across the country have closed their doors to visitors to protect their residents. Mobile technology (MT) such as applications (apps) could provide a valuable tool to help families stay connected, and to help OAs maintain mobility and link them to resources that encourage physical and mental well-being. Apps could address cognitive, visual, and hearing impairments. Our objective was to narratively summarize 15 apps that address physical and cognitive limitations and have the potential to improve OAs’ quality of life, especially during social distancing or self-quarantine.
Keywords	Mobile Application ; Aged ; Telemedicine ; Information Technology ; Gerontechnology ; COVID-19 ; Social Distancing ; Self-Quarantine ; Vulnerable Population ; covid19
Publishing date	2020-01-01
Publisher	eScholarship, University of California
Publishing country	us
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Utilization of a waste audit at a community hospital emergency department to quantify waste production and estimate environmental impact

Sarah Hsu / Swechya Banskota / Winston McCormick / Julia Capacci / Christian Bustamante / Katelyn Moretti / David Wiegn / Kyle Denison Martin

The Journal of Climate Change and Health, Vol 4, Iss , Pp 100041- (2021)

2021

Abstract: Introduction: A waste audit can clarify waste composition and inform improvements in waste disposal, thereby decreasing carbon emissions and reducing costs. The purpose of this study was to conduct a waste audit in the Emergency Department of a suburban ... ...

Abstract	Introduction: A waste audit can clarify waste composition and inform improvements in waste disposal, thereby decreasing carbon emissions and reducing costs. The purpose of this study was to conduct a waste audit in the Emergency Department of a suburban community hospital to identify waste content, estimate environmental impact and explore avenues for improvement in waste disposal. Methods: A 24-hour waste audit was performed in the ED of a community hospital in January 2020. The audit examined all waste generated in the ED during the study period. Waste was collected, manually sorted by predominant material, and weighed. Direct pollutant emissions were calculated using the M+WasteCare Calculator. Results: A total of 255.30 kilograms (kg) of waste was produced in a 24-h period, of which 98.2% was solid waste and 1.8% was regulated medical waste. A total of 1.63 kg of waste was produced per patient encounter. The largest category of waste was plastic (61.0%), followed by paper (18.2%). More than 170 unused items (5.2% of total waste) were identified during the audit, including unopened boxes of gloves, surgical face masks, suturing material, and medications. The audit also identified 418 Styrofoam cups disposed of in a 24-h period, which extrapolates to an estimated 152,570 disposed cups each year. Direct pollutant emissions from waste disposal in the ED were estimated at 304 kg of carbon dioxide per day. Conclusions: This 24-h waste audit in the ED of a community hospital identified waste content, estimated environmental impact, and proposed potential avenues for improvement in waste disposal.
Keywords	Waste ; Medical waste ; Waste audit ; Emergency department ; Public aspects of medicine ; RA1-1270 ; Meteorology. Climatology ; QC851-999
Language	English
Publishing date	2021-10-01T00:00:00Z
Publisher	Elsevier
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: The Geriatric Acute and Post-Acute Fall Prevention Intervention (GAPcare) II to Assess the Use of the Apple Watch in Older Emergency Department Patients With Falls: Protocol for a Mixed Methods Study.

Strauss, Daniel H / Davoodi, Natalie M / Healy, Margaret / Metts, Christopher L / Merchant, Roland C / Banskota, Swechya / Goldberg, Elizabeth M

JMIR research protocols

2021 Volume 10, Issue 4, Page(s) e24455

Abstract: Background: Falls are a common problem among older adults that lead to injury, emergency department (ED) visits, and institutionalization. The Apple Watch can detect falls and alert caregivers and clinicians that help is needed; the device could also be ...

Abstract	Background: Falls are a common problem among older adults that lead to injury, emergency department (ED) visits, and institutionalization. The Apple Watch can detect falls and alert caregivers and clinicians that help is needed; the device could also be used to objectively collect data on gait, fitness, and falls as part of clinical trials. However, little is known about the ease of use of this technology among older adult ED patients, a population at high risk of recurrent falls. Objective: The goal of this study-the Geriatric Acute and Post-Acute Fall Prevention Intervention (GAPcare) II-is to examine the feasibility, acceptability, and usability of the Apple Watch Series 4 paired with the iPhone and our research app Rhode Island FitTest (RIFitTest) among older adult ED patients seeking care for falls. Methods: We will conduct field-testing with older adult ED patients (n=25) who sustained a fall and their caregivers (n=5) to determine whether they can use the Apple Watch, iPhone, and app either (1) continuously or (2) periodically, with or without telephone assistance from the research staff, to assess gait, fitness, and/or falls over time. During the initial encounter, participants will receive training in the Apple Watch, iPhone, and our research app. They will receive an illustrated training manual and a number to call if they have questions about the research protocol or device usage. Participants will complete surveys and cognitive and motor assessments on the app during the study period. At the conclusion of the study, we will solicit participant feedback through semistructured interviews. Qualitative data will be summarized using framework matrix analyses. Sensor and survey response data will be analyzed using descriptive statistics. Results: Recruitment began in December 2019 and was on pause from April 2020 until September 2020 due to the COVID-19 pandemic. Study recruitment will continue until 30 participants are enrolled. This study has been approved by the Rhode Island Hospital Institutional Review Board (approval 1400781-16). Conclusions: GAPcare II will provide insights into the feasibility, acceptability, and usability of the Apple Watch, iPhone, and the RIFitTest app in the population most likely to benefit from the technology: older adults at high risk of recurrent falls. In the future, wearables could be used as part of fall prevention interventions to prevent injury before it occurs. Trial registration: ClinicalTrials.gov NCT04304495; https://clinicaltrials.gov/ct2/show/NCT04304495. International registered report identifier (irrid): DERR1-10.2196/24455.
Language	English
Publishing date	2021-04-01
Publishing country	Canada
Document type	Journal Article
ZDB-ID	2719222-2
ISSN	1929-0748
ISSN	1929-0748
DOI	10.2196/24455
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The Geriatric Acute and Post-Acute Fall Prevention Intervention (GAPcare) II to Assess the Use of the Apple Watch in Older Emergency Department Patients With Falls

Strauss, Daniel H / Davoodi, Natalie M / Healy, Margaret / Metts, Christopher L / Merchant, Roland C / Banskota, Swechya / Goldberg, Elizabeth M

JMIR Research Protocols, Vol 10, Iss 4, p e

Protocol for a Mixed Methods Study

2021 Volume 24455

Abstract: BackgroundFalls are a common problem among older adults that lead to injury, emergency department (ED) visits, and institutionalization. The Apple Watch can detect falls and alert caregivers and clinicians that help is needed; the device could also be ... ...

Abstract	BackgroundFalls are a common problem among older adults that lead to injury, emergency department (ED) visits, and institutionalization. The Apple Watch can detect falls and alert caregivers and clinicians that help is needed; the device could also be used to objectively collect data on gait, fitness, and falls as part of clinical trials. However, little is known about the ease of use of this technology among older adult ED patients, a population at high risk of recurrent falls. ObjectiveThe goal of this study—the Geriatric Acute and Post-Acute Fall Prevention Intervention (GAPcare) II—is to examine the feasibility, acceptability, and usability of the Apple Watch Series 4 paired with the iPhone and our research app Rhode Island FitTest (RIFitTest) among older adult ED patients seeking care for falls. MethodsWe will conduct field-testing with older adult ED patients (n=25) who sustained a fall and their caregivers (n=5) to determine whether they can use the Apple Watch, iPhone, and app either (1) continuously or (2) periodically, with or without telephone assistance from the research staff, to assess gait, fitness, and/or falls over time. During the initial encounter, participants will receive training in the Apple Watch, iPhone, and our research app. They will receive an illustrated training manual and a number to call if they have questions about the research protocol or device usage. Participants will complete surveys and cognitive and motor assessments on the app during the study period. At the conclusion of the study, we will solicit participant feedback through semistructured interviews. Qualitative data will be summarized using framework matrix analyses. Sensor and survey response data will be analyzed using descriptive statistics. ResultsRecruitment began in December 2019 and was on pause from April 2020 until September 2020 due to the COVID-19 pandemic. Study recruitment will continue until 30 participants are enrolled. This study has been approved by the Rhode Island Hospital Institutional Review Board ...
Keywords	Medicine ; R ; Computer applications to medicine. Medical informatics ; R858-859.7
Language	English
Publishing date	2021-04-01T00:00:00Z
Publisher	JMIR Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Cystic appearance on magnetic resonance imaging in bihormonal growth hormone and prolactin tumors in acromegaly.

Varlamov, Elena V / Wood, Matthew D / Netto, Joao Prola / Thiessen, Jaclyn / Kim, Jung / Lim, Dawn Shao Ting / Yedinak, Christine G / Banskota, Swechya / Cetas, Justin S / Fleseriu, Maria

Pituitary

2020 Volume 23, Issue 6, Page(s) 672–680

Abstract: Purpose: To investigate demographic, imaging and laboratory characteristics, and treatment outcomes of acromegaly patients who have bihormonal (BA) growth hormone (GH) and prolactin (PRL) immunoreactive adenomas compared to patients who have densely ... ...

Abstract	Purpose: To investigate demographic, imaging and laboratory characteristics, and treatment outcomes of acromegaly patients who have bihormonal (BA) growth hormone (GH) and prolactin (PRL) immunoreactive adenomas compared to patients who have densely granulated GH adenomas (DGA) and sparsely granulated GH adenomas (SGA). Methods: Retrospective review of single-center surgically treated acromegaly patients; pathology was analyzed by a single neuropathologist using 2017 WHO criteria. Preoperative magnetic resonance imaging was assessed to evaluate tumor size, cystic component, invasion and T2 signal intensity. Results: Seventy-seven patients; 19 BA (9 mammosomatotroph and 10 mixed GH and PRL adenomas) were compared with 30 DGA, and 28 SGA. Patients with BA were older than SGA (49.6 vs 38.5 years, p = 0.035), had a higher IGF-1 index (3.3 vs 2.3, p = 0.040) and tumors were less frequently invasive (15.8% vs 57.1%, p = 0.005). BA more frequently had a cystic component on MRI than both SGA and DGA (52.6% vs 14.3%, and 22%, p = 0.005 and 0.033, respectively). When all histological types were combined, biochemical remission postoperatively was more common in non-cystic than cystic tumors (50% vs 22.5%, p = 0.042). Somatostatin receptor ligand response rate was 66.7%, 90.9% and 37.5% in BA, DGA and SGA patients, respectively (p = 0.053). Conclusion: Imaging characteristics are an increasingly important adenoma behavior determinant. An adenoma cystic component may suggest that a GH adenoma is a BA. Cystic tumors exhibited lower rates of surgical remission in this series; therefore, optimized individual patient treatment is needed, as patients could be candidates for primary medical treatment.
MeSH term(s)	Acromegaly/diagnostic imaging ; Acromegaly/metabolism ; Aged ; Aged, 80 and over ; Female ; Human Growth Hormone/metabolism ; Humans ; Magnetic Resonance Imaging/methods ; Male ; Middle Aged ; Pituitary Gland ; Pituitary Neoplasms ; Prolactin/metabolism
Chemical Substances	Human Growth Hormone (12629-01-5) ; Prolactin (9002-62-4)
Language	English
Publishing date	2020-09-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	1385151-2
ISSN	1573-7403 ; 1386-341X
ISSN (online)	1573-7403
ISSN	1386-341X
DOI	10.1007/s11102-020-01075-7
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