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Open Access
Article
Publication date: 28 July 2020

Gopi Battineni, Nalini Chintalapudi and Francesco Amenta

Medical training is a foundation on which better health care quality has been built. Freshly graduated doctors have required a good knowledge of practical competencies, which…

Abstract

Medical training is a foundation on which better health care quality has been built. Freshly graduated doctors have required a good knowledge of practical competencies, which demands the importance of medical training activities. As of this, we propose a methodology to discover a process model for identifying the sequence of medical training activities that had implemented in the installation of a Central Venous Catheter (CVC) with the ultrasound technique. A dataset with twenty medical video recordings were composed with events in the CVC installation. To develop the process model, the adoption of process mining techniques of infrequent Inductive Miner (iIM) with a noise threshold value of 0.3 had done. A combination of parallel and sequential events of the process model was developed. Besides, process conformance was validated with replay fitness value about 61.1%, and it provided evidence that four activities were not correctly fit in the process model. The present study can assist upcoming doctors involved in CVCs surgery by providing continuous training and feedback on better patient care.

Details

Applied Computing and Informatics, vol. 18 no. 3/4
Type: Research Article
ISSN: 2634-1964

Keywords

Open Access
Article
Publication date: 10 December 2020

Gopi Battineni, Nalini Chintalapudi and Francesco Amenta

As of July 30, 2020, more than 17 million novel coronavirus disease 2019 (COVID-19) cases were registered including 671,500 deaths. Yet, there is no immediate medicine or…

2887

Abstract

Purpose

As of July 30, 2020, more than 17 million novel coronavirus disease 2019 (COVID-19) cases were registered including 671,500 deaths. Yet, there is no immediate medicine or vaccination for control this dangerous pandemic and researchers are trying to implement mathematical or time series epidemic models to predict the disease severity with national wide data.

Design/methodology/approach

In this study, the authors considered COVID-19 daily infection data four most COVID-19 affected nations (such as the USA, Brazil, India and Russia) to conduct 60-day forecasting of total infections. To do that, the authors adopted a machine learning (ML) model called Fb-Prophet and the results confirmed that the total number of confirmed cases in four countries till the end of July were collected and projections were made by employing Prophet logistic growth model.

Findings

Results highlighted that by late September, the estimated outbreak can reach 7.56, 4.65, 3.01 and 1.22 million cases in the USA, Brazil, India and Russia, respectively. The authors found some underestimation and overestimation of daily cases, and the linear model of actual vs predicted cases found a p-value (<2.2e-16) lower than the R2 value of 0.995.

Originality/value

In this paper, the authors adopted the Fb-Prophet ML model because it can predict the epidemic trend and derive an epidemic curve.

Details

Applied Computing and Informatics, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2634-1964

Keywords

Open Access
Article
Publication date: 26 October 2020

Gopi Battineni, Nalini Chintalapudi and Francesco Amenta

After the identification of a novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) at Wuhan, China, a pandemic was widely spread worldwide. In Italy, about 240,000…

2283

Abstract

Purpose

After the identification of a novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) at Wuhan, China, a pandemic was widely spread worldwide. In Italy, about 240,000 people were infected because of this virus including 34,721 deaths until the end of June 2020. To control this new pandemic, epidemiologists recommend the enforcement of serious mitigation measures like country lockdown, contact tracing or testing, social distancing and self-isolation.

Design/methodology/approach

This paper presents the most popular epidemic model of susceptible (S), exposed (E), infected (I) and recovered (R) collectively called SEIR to understand the virus spreading among the Italian population.

Findings

Developed SEIR model explains the infection growth across Italy and presents epidemic rates after and before country lockdown. The results demonstrated that follow-up of strict measures such that country lockdown along with high testing is making Italy practically a pandemic-free country.

Originality/value

These models largely help to estimate and understand how an infectious agent spreads in a particular country and how individual factors can affect the dynamics. Further studies like classical SEIR modeling can improve the quality of data and implementation of this modeling could represent a novelty of epidemic models.

Details

Applied Computing and Informatics, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2634-1964

Keywords

Article
Publication date: 29 December 2021

Daniele Binci, Gabriele Palozzi and Francesco Scafarto

Digital transformation (DT) is a priority for the healthcare sector. In many countries, it is still considered in the early stages with an underestimation of its benefits and…

1468

Abstract

Purpose

Digital transformation (DT) is a priority for the healthcare sector. In many countries, it is still considered in the early stages with an underestimation of its benefits and potentiality. Especially in Italy, little is known about the impact of digitalization – particularly of the Internet of Things (IoT) – on the healthcare sector, for example, in terms of clinician's jobs and patient's experience. Drawing from such premises, the paper aims to focus on an overlooked healthcare area related to the chronic heart diseases field and its relationship with DT. The authors aim at exploring and framing the main variables of remote Monitoring (RM) adoption as a specific archetype of healthcare digitalization, both on patients and medical staff level, by shedding some lights on its overall implementation.

Design/methodology/approach

The authors empirically inquiry the RM adoption within the context of the Cardiology Department of the Casilino General Hospital of Rome. To answer our research question, the authors reconstruct the salient information by using induction-type reasoning, direct observation and interviewees with 12 key informants, as well as secondary sources analysis related to the hospital (internal documentation, presentations and technical reports).

Findings

According to a socio-technical framework, the authors build a model composed of five main variables related to medical staff and patients. The authors classify such variables into an input-process-output (I-P-O) model. RM adoption driver represents the input; cultural digital divide, structure flexibility and reaction to change serve the process and finally, RM outcome stands for the output. All these factors, interacting together, contribute to understanding the RM adoption process for chronic disease management.

Research limitations/implications

The authors' research presents two main limitations. The first one is related to using a qualitative method, which is less reliable in terms of replication and the interpretive role of researchers. The second limitation, connected to the first one, is related to the study's scale level, which focuses on a mono-centric consistent level of analysis.

Practical implications

The paper offers a clear understanding of the RM attributes and a comprehensive view for improving the overall quality management of chronic diseases by suggesting that clinicians carefully evaluate both hard and soft variables when undertaking RM adoption decisions.

Social implications

RM technologies could impact on society both in ordinary situations, by preventing patient mobility issues and transport costs, and in extraordinary times (such as a pandemic), where telemedicine contributes to supporting hospitals in swapping in-person visits with remote controls, in order to minimize the risk of coronavirus disease (COVID-19) contagion or the spread of the virus.

Originality/value

The study enriches the knowledge and understanding of RM adoption within the healthcare sector. From a theoretical perspective, the authors contribute to the healthcare DT adoption debate by focusing on the main variables contributing to the DT process by considering both medical staff and patient's role. From a managerial perspective, the authors highlight the main issues for RM of chronic disease management to enable the transition toward its adoption. Such issues range from the need for awareness of the medical staff about RM advantages to the need for adapting the organizational structure and the training and education process of the patients.

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