Mobile Portal Research Articles

Genetic Variation of Structural and Functional Genes of SARS-CoV-2 Isolates Circulating in Banyumas (Indonesia)

Scientists are performing various measurements to overcome the COVID-19 pandemic. The genomic mutations of SARS-CoV-2 can change their pathogenicity, infectivity, transmission, and antigenicity. This present study aimed to know a) the genetic variation of structural and functional genes of SARS-CoV-2 circulating in Banyumas and b) the potential of the Cilacap’s Harbour as a human mobility portal on the genetic variations of SARS-CoV-2 circulating in Banyumas, Central Java (Indonesia). Genomic sequence of SARS-CoV-2 isolates were taken from the Global Initiative on Sharing All Influenza Data (GISAID) and the National Center for Biotechnology Information (NCBI) online platforms. A gene cut was carried out from Wuhan reference isolate, fifteen isolates from Banyumas, and two isolates from Cilacap (Central Java) using Unipro UGENE v. 33.0 software, considering the annotation of the Wuhan-1 isolate. Genetic variations were detected among SARS-CoV-2 isolates circulating in Banyumas. The structural protein (envelope, membrane, nucleocapsid) encoding gene and the RdRp gene were highly conserved to Wuhan reference genome (Wuhan-Hu-1). Meanwhile, the ORF and the spike-encoding genes were less identical to the Wuhan reference genome. This study also proposed that human mobility from outside Central Java through Cilacap’s Harbour did not affect the genetic variation of SARS-CoV-2 isolates circulating in Banyumas (Central Java).

Primary care telemedicine during the COVID-19 pandemic: patient's choice of video versus telephone visit.

The aim of this study is to examine the association between patient characteristics and primary care telemedicine choice among integrated delivery system patients self-scheduling visits during the COVID-19 pandemic. We used multivariate logistic regression to examine the association between the choice of video versus telephone and patient sociodemographic characteristics and technology access among patient-initiated primary care telemedicine visits scheduled online from March to October 2020. Among 978 272 patient-scheduled primary care telemedicine visits, 39% were video visits. Patients of Black or Hispanic race/ethnicity, or living in low socioeconomic status or low internet access neighborhoods were less likely to schedule video visits. Patients 65 years or older, with prior video visit experience or mobile portal access, or visiting their own personal provider were more likely to schedule video visits. While video adoption was substantial in all patient groups examined, differences in telemedicine choice suggest the persistence of a digital divide, emphasizing the importance of maintaining a telephone telemedicine option.

РЕГУЛИРОВАНИЕ ЛЕГАЛЬНОЙ ТРУДОВОЙ МИГРАЦИИ ИЗ ТРЕТЬИХ СТРАН В СООТВЕТСТВИИ С ЗАКОНОДАТЕЛЬСТВОМ ЕВРОПЕЙСКОГО СОЮЗА

The article deals with the EU legal framework in the sphere of regulation of legal labor migration of citizens from third countries. In recent years this issue has become one of the most discussed in the European Union due to the migration crisis and the development of geopolitical transformations. By examining the relevant provisions of primary and secondary EU law, especially certain provisions of EU secondary legislation, as well as the case law of the Court of Justice of the European Union (hereinafter — CJEU), the author concludes that the European Union institutions and competent authorities need to change their approach when it comes to labor market needs. The migration crisis of 2015-2019 has shown the need to develop and further adopt a common migration policy at the supranational level, with particular attention to the regulation of labor migration. Details on improving and developing a program for the integration and assimilation of migrants in host countries are extremely important. There is also a need to develop online platforms and tools to help potential migrants better integrate, which could be similar to the European Job Mobility Portal (EURES). Particular attention needs to be paid to the implementation of European law at the supranational level, as individual countries complicate administrative and bureaucratic regulation in order to reduce the flow of migration into their countries. In general, despite some progress in the development of EU migration law, there is a need to improve it in order to bring it into line with the reality of migration regulation.

An Interdisciplinary Collaboration to Improve Hypertension Medication Adherence for Older Adults

Hypertension is highly prevalent in older adults (74.5% in ≥60 years) with dire consequences, and adherence to hypertension medications is low (approximately 50%). With increased smartphone use among older adults (81% for 60-69 years, 62% for ≥70 years), technology innovations can improve medication adherence. This symposium highlights the efforts of an innovative interdisciplinary team of experts (clinical, cognitive aging, human factors, health technology) to develop and implement the Medication Education, Decision Support, Reminding, and Monitoring (MEDSReM) system to improve hypertension medication adherence for older adults. MEDSReM is a theory-based, integrated mobile application (app) and companion web portal that educates, supports missed dose decisions, reminds, monitors adherence, and incorporates blood pressure feedback. In this symposium, we describe the interdisciplinary development efforts. Insel et al. will present the theory-based intervention, technology translation, and advancement of the MEDSReM system. Lee et al. will describe the interdisciplinary team and describe the work by the decision support subteam that created the medication formulary and generated an algorithm to guide missed-dose decisions based on pharmacology of aging. Rogers et al. will discuss the education subteam’s development of educational information about hypertension, medications, and adherence for the MEDSReM system. Mitzner et al. will illustrate the instructional support sub-team’s efforts to ensure older adults can interact with both the smartphone app and online portal. Lastly, Hale et al. will describe the user testing subteam’s usability processes including the integration of blood pressure self-monitoring. These efforts will provide insights for other interdisciplinary teams developing technology interventions for older adults.

Цифровая трансформация сферы услуг

The article is devoted to the problems of digital transformation of companies in the service sector. The article describes the concepts of "digitization", "digitalization", "digital transformation", "automation". The analysis of the main sectors of the public services sector, the processes of transformation into a new business model of their development is carried out. Specific examples show the role of digital technologies implemented by individual companies, the leaders of their industry: "Internet of Things" (IoT); virtual diagnostics of the service; mobile applications and portals; artificial intelligence and machine learning (AI / ML); remote maintenance; UX design; virtual reality; cloud technologies; online services and others. The authors proceed from understanding the difference between automation and digitalization, the strategic goal of which is to create a new digital business model that creates new value. The result of digital transformation is the reconfiguration of processes that change the business logic of the company and the process of creating value. The article concludes that the rapid development of new technologies leads to the fact that companies face not only a dilemma when choosing the most suitable technologies for investment, but also the problem of staffing and finding an adequate organizational structure to create and maintain a new business model of the company.

869-P: Patient-Provider Video Visit Use and HbA1c Control among Patients with Diabetes

Video telemedicine can offer patients direct real-time convenient access to clinicians without arranging transportation or work time-off, improving access to diabetes care and self-management support. We examined the association between video visit use and hemoglobin A1c (HbA1c) among patients with diabetes. In a longitudinal study, within a large integrated delivery system where patients were first able to self-schedule real-time physician video visits in 2016, we used the clinical registry to identify patients with diabetes (2015), and followed their video visit use and subsequent HbA1c values over time (2016-2019). Using linear regression with patient-level fixed effects (within-patient changes), adjusting for calendar year and month and time-changing patient mobile portal access, we measured the association between use of video visits as a time-changing variable and the patient’s yearly HbA1c values (in subsequent calendar years after video visit use). We then stratified analyses by baseline HbA1c value: <8%, ≥8%, no value (defined as lower patient engagement). Among 204,301 patients with diabetes, 50% were 65 years or older, 48% were women, and 45% were of white race/ethnicity. Overall, 95% of patients had a baseline HbA1c value, 24% had HbA1c values ≥8%. Patient use of video visits was associated with an overall statistically significant reduction in HbA1c value by 0.15% (95% CI: 0.11%-0.19%). Among those with baseline HbA1c values ≥8%, using video visits was associated with a HbA1c value reduction of 0.22% (95% CI: 0.12%-0.32%), and among patients with lower baseline engagement (i.e., no baseline HbA1c measurement), using video visits was associated with a HbA1c reduction of 0.39% (95% CI: 0.07%-0.71%). Use of video visit was associated with improved glycemic control among patients with diabetes, with greater improvements found among patients with worse baseline control and lower engagement. Video visits may offer convenient health care access to improve diabetes management. Disclosure M. Reed: None. A. Gopalan: None. I. Graetz: None. L. Hsueh: None. J. Huang: None. E. Muelly: None. Funding National Institute of Diabetes and Digestive and Kidney Diseases (R01DK085070)

Communication With Patients Before an Operation: Their Preferences on Method of Communication.

BackgroundWith the constantly evolving communication technologies, it is essential for all healthcare professionals to try utilising various methods in communicating with patients. This will lead to better healthcare outcomes and patient satisfaction.ObjectiveThe aim of the study was to compare a patient’s preference to various communication methods regarding their appointments and to evaluate if we’re giving our patients an appropriate notice period prior to their operation.MethodsA questionnaire was given to 111 patients who underwent elective orthopaedic procedures.ResultsFactors like age and gender affect the choice of communication method. Traditional letters still have a role for an older population aged 65 and over. However, younger patients showed higher preference for other communication methods such as phone calls, texts, and e-mails. Gender also had a role in choosing a preference where male patients chose a range of options whilst female patients preferred phone calls. Most patients stated they received an appropriate notice period, with 88% of patients stating they would like to be notified one-two weeks prior to their operation.ConclusionMore research needs to be conducted into using text messages and e-mails in communicating with elective surgical patients, in addition to implementing newer technologies like mobile phone applications and secure online messaging portals, as this has the potential to reshape the communication process with our patients and lead to better health outcomes and patient satisfaction.

REGULATION OF LEGAL LABOUR MIGRATION FROM THIRD COUNTRIES UNDER EU LAW

The article considers the EU legislation regulating legal labour migration from third countries, which has lately become one of the most pressing issues in the European Union. In particular, the authors consider provisions of the EU/EC Directives and cases of the Court of Justice of the European Union. They come to the conclusion that the EU institutions and bodies should take more careful approach to labour market needs, taking into account the necessary qualifications of workers. Under the current conditions of the European migrant crisis, the EU should further develop legal regulation of the general migration policy, with a particular attention to labour migration. It is necessary to establish and improve the incentives for migrants to study European languages, contributing to their integration in the EU member states. There is also a demand for the development of interactive tools helping potential migrant workers from third countries, which could be similar, for example, to the existing European job mobility portal EURES

Patient Characteristics Associated With Choosing a Telemedicine Visit vs Office Visit With the Same Primary Care Clinicians

Video or telephone telemedicine can offer patients access to a clinician without arranging for transportation or spending time in a waiting room, but little is known about patient characteristics associated with choosing between telemedicine or office visits. To examine patient characteristics associated with choosing a telemedicine visit vs office visit with the same primary care clinicians. This cross-sectional study included data from 1 131 722 patients who scheduled a primary care appointment through the Kaiser Permanente Northern California patient portal between January 1, 2016, and May 31, 2018. All completed primary care appointments booked via the patient portal were identified. Only index visits without any other clinical visits within 7 days were included to define a relatively distinct patient-initiated care-seeking episode. Visits for routine physical, which are not telemedicine-eligible, were excluded. Data were analyzed from July 1, 2018, to December 31, 2019. Patient choice between an office, video, or telephone visit. Relative risk ratios (RRRs) for patient sociodemographic characteristics (age, sex, race/ethnicity, neighborhood socioeconomic status, language preference), technology access (neighborhood residential internet, mobile portal use), visiting the patient's own personal primary care clinician, and in-person visit barriers (travel-time, parking, cost-sharing), associated with choice of video or telephone telemedicine (vs office visit). Of 2 178 440 patient-scheduled primary care visits scheduled by 1 131 722 patients, 86% were scheduled as office visits and 14% as telemedicine visits, with 7% of the telemedicine visits by video. Choosing telemedicine was statistically significantly associated with patient sociodemographic characteristics. For example, patients aged 65 years and over were less likely than patients aged 18 to 44 years to choose telemedicine (RRR, 0.24; 95% CI, 0.22-0.26 for video visit; RRR 0.55; 95% CI, 0.54-0.57 for telephone visit). Choosing telemedicine was also statistically significantly associated with technology access (patients living in a neighborhood with high rates of residential internet access were more likely to choose a video visit than patients whose neighborhoods had low internet access: RRR, 1.10; 95% CI, 1.06-1.14); as well as in-person visit barriers (patients whose clinic had a paid parking structure were more likely to choose a telemedicine visit than patients whose facility had free parking: RRR, 1.70; 95% CI, 1.41-2.05 for video visit; and RRR, 1.73, 95% CI, 1.61-1.86 for telephone visit). In this cross-sectional study, patients usually chose an in-person visit when scheduling an appointment online through the portal. Telemedicine may offer the potential to reach vulnerable patient groups and improve access for patients with transportation, parking, or cost barriers to clinic visits.

Analysis of Online Learning Needs of Islamic Study Materials in The North Zone of Malaysia Polytechnics

This study was conducted with the purpose to identify the level of readiness and needs of the students towards the development of a mobile portal which applied problem-based learning for the Islamic Studies course in polytechnics. This study had implemented the method of survey and quantitative in nature. The number of 228 students who were enrolling the Islamic Studies course from five Malaysia polytechnics in the North Zone were selected randomly as sample. A set of questionnaires was used as research instrument. The data obtained were analysed descriptively using frequency, percentage and mean score in order to identify the level of readiness and needs of the students. The study found that students’ readiness level is very good, with 100% of the respondents owned mobile devices and 93.5% out of total respondents had experience in using the mobile devices for more than 3 years. The level of skill in using the mobile device also was good as all items had reached high level of mean score (3.82 – 4.14). Another criteria of readiness obtained from the data was students’ readiness towards problem-based learning strategy which all items had reached high level of mean score (3.94 – 4.20). Overall, the finding of this research showed that the level of students’ needs was high towards the development of this module as an effort to create an alternative pathway for the pedagogy of Islamic Studies.

Abstract P6-12-03: Development of technology for bi-directional, tailored support of the relationship between breast cancer patients and their providers

Abstract Background: It has been repeatedly recognized that current electronic medical record (EMR) systems detract from the patient-provider relationship and that innovative technology is needed to re-center medical encounters on the patient-provider relationship. This is especially important during breast cancer diagnosis and treatment.Methods: We interviewed breast cancer patients and their providers to understand the needs of each. Perspectives from both patients and providers were recorded and collated through discussions and subsequent field pilot tests which we used to validate and prioritize features or functions needed in the app to support each side of the medical encounter. Results: Patients reported wanting a system that centrally housed their diagnostic and treatment related information. They wanted the ability to share information with their caregivers (family and friends) as well as report symptoms (patient reported outcomes - PROs) to their providers. Providers reported wanting a way to gather and use PROs to intervene as soon as possible on the symptoms reported by the patients that might cause treatment delays or decrease adherence to the treatment regimen. Providers also wanted a way to easily consume the patient’s breast cancer journey and understand the current status of the patient. Using the interviews, we collated a set of the most critical capabilities and created a bi-directional mobile portal for patients and providers that has a tailored interface for each role. The resulting platform enables breast cancer patients to record their diagnosis, track appointments, and store PROs. In addition, patients can invite caregivers to the platform to view their medical history and help them in their care journey. Patients can also share their information with their providers. The provider side of the mobile app allows the doctor to view the patient’s longitudinal case summary as well as any PROs, manage patient encounters and includes a chat function for the patient’s medical team to communicate with each other regarding the patient’s case. Conclusion: We demonstrate that it is possible to build and deploy a mobile application to support patient-provider engagement. We show initial results that are promising for a bi-directional platform that reduces friction in patient-provider engagement. Citation Format: Sharon Hensley Alford, Rohit Mahatma, Sagar Amode, Rupal Sethia, Kartik Mahatma, Hitesh Mahatma, Varun Mahatma, Nayan Sonawane, Shilpa Mahatma, Tarun Kumar, Kanchan Chawala. Development of technology for bi-directional, tailored support of the relationship between breast cancer patients and their providers [abstract]. In: Proceedings of the 2019 San Antonio Breast Cancer Symposium; 2019 Dec 10-14; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2020;80(4 Suppl):Abstract nr P6-12-03.

1284-P: Mobile Patient Portal Access and Diabetes Outcomes

Objective: Patient portal use can support self-management and expanding mobile portal access can potentially increase use. We examined the association between adding mobile portal access and medication adherence and glycemic levels among patient with diabetes. Research Design and Methods: Eligible patients were adults with diabetes in an integrated delivery system who filled an oral diabetes prescription at baseline (4/14-3/15), and who did not use insulin. For each study month (4/15-12/17), we categorized patients’ portal access status: never used, personal computer (PC) only, mobile only, or both PC and mobile (first four-months of any status change was categorized separately as a wash-out period). We measured adherence by monthly percent of days covered (PDC) with oral diabetes drugs. To examine glycemic control, we included the subset of patients with HbA1c results (72% of all patients). We assessed the association between portal access and study outcomes (PDC and HbA1c), using linear regression with patient-level fixed effects to account for unmeasured time-stable patient-level confounders, adjusting for temporal trend, and time-varying numbers of drugs and health events. Results: Among study patients (N= 111,463), the proportion with PC only portal access decreased from 30% to 13%, while the proportion using both mobile and PC increased from 34% to 62%. At baseline, 71.6% of patients had PDC≥80% and 78.8% had HbA1c<8%. Gaining both mobile and PC access was associated with a 1.67 percentage point increase in PDC among those with no portal access initially, and a 0.50 percentage point increase in among those with PC only access initially. Adding both mobile and PC access was associated with a 0.13 reduction in A1c level among those with no portal access initially, and a 0.07 reduction among those with only PC access initially (N=80,072, all p<0.05). Conclusions: The addition of mobile portal access is associated with higher medication adherence and improved glycemic control for patients with diabetes. Disclosure I. Graetz: None. J. Huang: None. B. Fireman: None. J. Hsu: None. M. Reed: None. Funding National Institute of Diabetes and Digestive and Kidney Diseases (R01DK085070 to M.R.)

실망감이 모바일 포털서비스 사용에 대한 전환의도 및 구전에 미치는 영향 : 가치기반수용모형을 기반으로

실망감이 모바일 포털서비스 사용에 대한 전환의도 및 구전에 미치는 영향 : 가치기반수용모형을 기반으로

Application of agricultural information accessed through mobile

Mobile has emerged as the technology whose spread has surpassed all predictions and records. After its successful use in trade, commerce and banking, it is applied in governance and agricultural extension. A number of initiatives like Kisan Call Centre (Toll free number-18001801551), Mobile portal ( http://www.mkisan.gov.in ), Voice SMS ( http://www.iksl.net ) has been taken to provide mobile-based services to the farmers. All these initiatives aim at empowering the farmers through agricultural information which the farmers are expected to apply for increasing productivity and profitability. A study was conducted in Jharkhand state of India to ascertain the application of agricultural information accessed through mobile. Data were collected from the purposively selected districts, one each from three agro- climatic zones of Jharkhand on the criteria of mobile user base. The findings revealed satisfactory level of information application. The selected independent variables viz., family education, social participation, extension contact, mass media and IT exposure, attitude towards mobile, annual agricultural income, information needs, knowledge about mobile feature, level of aspiration about mobile and monthly expenditure on mobile service were found positively and significantly correlated with information application at 1 per cent level of probability. Age was found negatively and significantly correlated at 1 per cent level of probability. However, innovation proneness was found positively and significantly correlated at 5 per cent level of probability. The selected independent variables could explain the variability upto 41.6 per cent whereas the variable information needs alone contributed upto 34.6 per cent. Hence, intervention like awareness programme should be undertaken so that felt needs could be expressed and unfelt needs could be converted into felt needs. Extension organizations need to provide more specific and personalized advice.

모바일포털 사이트들의 응답패킷분포에 관한 연구

모바일포털 사이트들의 응답패킷분포에 관한 연구

The Intention to Use Mobile Student Portal: A Mobile Human Computer Interaction Study in a University Context in Egypt

Mobile devices are increasingly being used as platforms for interactive services. However, factors affecting adoption of mobile services in some specific contexts, such as student portals, are still underresearched. This paper reports thematic analyses of semistructured interviews conducted with 52 undergraduate users of mobile student portal in a developing country. The results uncover design features affecting the use of mobile student portals, such as (1) Content Sharing, comprising an Integrative Design to share posts from the mobile portal to social media, (2) Personalized Content and Notification, for personalized notification based on student’s academic status, (3) Location-Aware notification, providing location-based updates, (4) User Control, allowing to choose content formats and details level, and (5) Context Switching and Interrupted Behavior, leading to the need for displaying content in small, meaningful chunks to help pick up after interruptions of messages and calls. The findings suggest design recommendations for mobile student portal, in specific.

고령자를 배려한 모바일 애플리케이션 UI에 관한 연구 : ‘네이버’와 ‘다음’의 모바일 서비스를 중심으로

스마트폰 보급률이 높아지며 정보의 습득 방식이 모바일 서비스 중심으로 변화하고 있으며, 이에 따라 고령자를 비롯한 정보 취약 계층도 쉽게 모바일 서비스를 활용할 수 있도록 ‘모바일 애플리케이션 콘텐츠 접근성 지침 2.0’이 한국의 국가 표준으로 제정되었다. 본 연구는 한국을 대표하는 포털사이트인 ‘네이버’와 ‘다음’의 모바일 포털 애플리케이션을 비교/분석해서 그들이 제공하는 모바일 환경이 취약계층을 얼마나 배려하고 있는지 알아보고, 고령자들이 정보를 쉽게 습득할 수 있도록 접근성이 쉬운 디자인 가이드라인을 제시하는 것을 목적으로 한다. 연구방법은 다음과 같다. 첫 번째, 모바일 애플리케이션 UI의 특성과 이를 이용하는 고령자의 범위를 정하고 이들의 특성을 고찰했다. 두 번째, 고령자가 모바일 이용 시 느끼는 불편함을 최소화하는 환경에 관한 연구를 고찰하고, 고령자를 배려한 UI 디자인에 관련된 선행연구를 조사하였다. 세 번째, 한국의 대표적인 포털사이트인 ‘네이버’와 ‘다음’의 모바일 애플리케이션 환경을 국가 표준지침을 기준으로 비교/분석하였다. 분석결과, 대체로 국가 표준지침에 부합하는 서비스를 하는 것으로 나타났으나 포털사이트의 근본적인 특성인 링크를 통해 타사의 페이지를 보여주는 점과 소비자들이 콘텐츠를 직접 만들어서 업로드하는 서비스 등으로 인해 국가 지침을 완벽히 따르는 것에는 구조적인 어려움이 있는 것으로 확인되었다. 또한, 모바일 환경의 제한된 크기와 디바이스의 버전에 따른 기술적 차이 때문에 나타나는 어려움도 나타났다. 따라서 외부유입 콘텐츠 UI의 통합 가이드라인이 필요하고, 기기별 최적화 작업이 요구된다.

반복측정된 3대 무선포탈들의 패킷패턴 추정에 관한 연구

반복측정된 3대 무선포탈들의 패킷패턴 추정에 관한 연구

Design and Implementation of Mobile Portal for Kenyan Pastoralists

A mobile portal is an internet gateway that provides online services primarily accessed via mobiles and other handheld devices. Mobile portals are part of web 3.0 that is starting to revolutionize online services. Such portals can help pastoralists in Kenya access essential information and marketing services online. The aim of the study was to design and implement a mobile portal that will help Kenyan pastoralists improve their yields. The study adopted systems development life cycle (SDLC) methodology to design, implement and test the portal and used structured interviews and observation to collect user requirements. The portal was coded in J2ME, JSP and SQL languages and developed using Java Development Kit (JDK), Sun Wireless Toolkit, Lightweight User Interface Toolkit (LWUIT), Struts, Tomcat and MySQL. The outcome of the study was the mobile portal successfully developed, tested and deployed.

Suvremeno iseljavanje iz Hrvatske u Irsku s posebnim osvrtom na mlade iz Slavonije

Suvremeno iseljavanje iz Hrvatske u Irsku s posebnim osvrtom na mlade iz Slavonije