Mobile Screen Research Articles

Face and content validity of a mobile delirium screening tool adapted for use in the medical setting (eDIS-MED): Welcome to the machine.

Following a user-centred redesign and refinement process of an electronic delirium screening tool (eDIS-MED), further accuracy assessment was performed prior to anticipated testing in the clinical setting. Content validity of each of the existing questions was evaluated by an expert group in the domains of clarity, relevance and importance. Questions with a Content Validity Index (CVI) <0.80 were reviewed by the development group for potential revision. Items with CVI <0.70 were discarded. Next, face validity of the entirety of the tests was conducted and readability measured. A panel of five clinical experts evaluated the test battery comprising eDIS-MED. The content validity process endorsed 61 items. The overall scale CVI was 0.92. Eighty-eight per cent of the responses with regard to question relevancy, usefulness and appropriateness were positive. The questions were deemed fifth grade level and very easy to read. A revised electronic screening tool was shown to be accurate according to an expert group. A clinical validation study is planned.

Which pedagogical approaches are more effective in mobile learning? A meta‐analysis and research synthesis

AbstractBackground StudySeveral meta‐analysis studies have investigated the effects of mobile learning on learning performance. However, limited attention has been paid to pedagogy in mobile learning, making quantitative evidence of the effects of pedagogical approaches on learning performance in mobile learning scarce. Filling this gap can therefore help stakeholders understand which mobile pedagogical approaches might work or not under which learning conditions, hence achieving better learning experience and performance.ObjectivesTo address this gap, this study conducted a meta‐analysis and research synthesis of the effects of integrated pedagogical approaches on students' learning performance in mobile learning. Additionally, this study analysed the field of education, level of education, learning setting, sample size, and mobile device as moderating variables of the effect of pedagogical approaches.MethodsThe software Comprehensive Meta‐Analysis V.3 was used for this meta‐analysis, where Hedges' g was calculated for the effect sizes. Specifically, 70 quantitative studies (N = 5575 participants) were coded and analysed.ResultsThe results indicate that pedagogical approaches in mobile learning have a large effect on students' learning performance (g = 0.93, p &lt; 0.001). The most effective pedagogical approach was project‐based learning (huge effect), while collaborative learning, situated learning and game‐based learning had large effects. Finally, cognitive theory of multimedia learning and inquiry‐based learning had medium effects. The results also indicate that the effect is moderated by the field of education, the level of education, the learning setting, the sample size, and the mobile device. Finally, it is found that study quality might influence the overall effect size.ConclusionsThe findings of this study can be beneficial to both researchers and practitioners as they highlight and discuss which pedagogical approaches could be more effective in mobile learning under specific conditions. Further research, on the other hand, should focus on covering additional moderators of learning performance like mobile device type and screen size which is one of the limitations of this study.

Detection of caries and determination of treatment needs using DentMA teledentistry: A deep learning approach

Background: Teledentistry is considered capable of detecting dental caries remotely without direct contact with patients. Deep learning (DL) algorithms are trained with sufficient datasets to find patterns and models based on learning. By using a DL model, we propose a conceptual framework for the screening of dental caries using smartphones: the DentMA application, a new breakthrough in teledentistry technology. In this study, the DentMA teledentistry application was used for mobile screening for caries. Purpose: This study aimed to analyze the use of DentMA teledentistry to detect dental caries, enamel-dentin caries, and untreated caries, and to determine treatment needs in children. Methods: The participants of this study were 124 children aged 4–6 years. The study was conducted by having the participants’ mothers take intraoral clinical photos of the participants using the DentMA teledentistry application on their smartphones. For the photo to be taken, each participant was directed to sit upright, with the head looking straight ahead and the mouth open. Results: The results showed that DentMA teledentistry was capable of detecting dental, enamel-dentin, and untreated caries in children, and its ability to predict dental treatment needs was good (p &lt; 0.005). Teledentistry screening using a mobile phone can detect not only caries but also a relationship between the complaints and the medical histories of patients with dental caries. Conclusion: The DentMA teledentistry application can detect dental caries in children according to the individuals’ complaints, including enamel-dentin caries and advanced caries, and can help determine treatment needs.

Remote Self-Administration of Cognitive Screeners for Older Adults Prior to a Primary Care Visit: Pilot Cross-Sectional Study of the Reliability and Usability of the MyCog Mobile Screening App.

Routine cognitive screening is essential in the early detection of dementia, but time constraints in primary care settings often limit clinicians' ability to conduct screenings. MyCog Mobile is a newly developed cognitive screening system that patients can self-administer on their smartphones before a primary care visit, which can help save clinics' time, encourage broader screening practices, and increase early detection of cognitive decline. The goal of this pilot study was to examine the feasibility, acceptability, and initial psychometric properties of MyCog Mobile. Research questions included (1) Can older adults complete MyCog Mobile remotely without staff support? (2) Are the internal consistency and test-retest reliability of the measures acceptable? and (3) How do participants rate the user experience of MyCog Mobile? A sample of adults aged 65 years and older (N=51) self-administered the MyCog Mobile measures remotely on their smartphones twice within a 2- to 3-week interval. The pilot version of MyCog Mobile includes 4 activities: MyFaces measures facial memory, MySorting measures executive functioning, MySequences measures working memory, and MyPictures measures episodic memory. After their first administration, participants also completed a modified version of the Simplified System Usability Scale (S-SUS) and 2 custom survey items. All participants in the sample passed the practice items and completed each measure. Findings indicate that the Mobile Toolbox assessments measure the constructs well (internal consistency 0.73 to 0.91) and are stable over an approximately 2-week delay (test-retest reliability 0.61 to 0.71). Participants' rating of the user experience (mean S-SUS score 73.17, SD 19.27) indicated that older adults found the usability of MyCog Mobile to be above average. On free-response feedback items, most participants provided positive feedback or no feedback at all, but some indicated a need for clarity in certain task instructions, concerns about participants' abilities, desire to be able to contact a support person or use in-app technical support, and desire for additional practice items. Pilot evidence suggests that the MyCog Mobile cognitive screener can be reliably self-administered by older adults on their smartphones. Participants in our study generally provided positive feedback about the MyCog Mobile experience and rated the usability of the app highly. Based on participant feedback, we will conduct further usability research to improve support functionality, optimize task instructions and practice opportunities, and ensure that patients feel comfortable using MyCog Mobile. The next steps include a clinical validation study that compares MyCog Mobile to gold-standard assessments and tests the sensitivity and specificity of the measures for identifying dementia.

A Descriptive Study Using Rasch Analysis and Hypothesis Testing to Evaluate the Psychometric Properties of the UMOVE Mobility Screen Tested With Hospitalized Older Adults.

The purpose of this study was to test the reliability and validity of the UMOVE Mobility Screen in older adults living with dementia using a Rasch analysis and hypothesis testing. The UMOVE Mobility Screen (UMOVE) focuses on nine activities: following commands, muscle strength, and basic functional mobility tasks. Trained evaluators completed assessments on 244 patients, the majority of whom were female (62%), and White (71%). Based on Rasch Analysis, there was evidence of good item and person reliability (indexes > 0.80), good INFIT statistics, and only one item fitting the model based on OUTFIT statistics. Validity was supported based on hypothesis testing. There was no evidence of Differential Item Functioning between races and genders. Item mapping raised concerns about the spread of the items across the full spectrum of mobility assessed in the UMOVE Mobility Screen. Future testing should consider adding some easier and some more difficult items.

EXERT-BC: Prospective Study of an Exercise Regimen After Treatment for Breast Cancer.

Purpose EXERT-BC is a dose-escalated resistance training regimen created to improve body composition, strength, and balance in women treated for breast cancer (BC). Herein, we report the interim analysis. Women treated for BC underwent this 3-month exercise regimen in an exercise oncology facility with continual monitoring of load and strength. Twenty women completed the IRB-approved protocol, with a mean age of 57 years (range 41-74). Concurrent therapies included anti-estrogen therapy (73%), chemotherapy (14%), and radiotherapy (23%). 27% of women endorsed prior exercise. Subjects missed an average of 1.75 classes (range 0-7), with all meeting adherence over 75%. No injuries or adverse events were reported aside from muscle soreness and 2 days of knee pain. Significant differences in body composition at completion included reduced body fat (38.2% vs. 36.7%, p=0.003), and increased muscle mass (33.1% vs. 37.1%, p<0.001), functional mobility screening (9.82 vs. 11.73, p=0.018), and Y-balance (left: 72.4 vs. 85.3, p=0.001; right: 70.3 vs. 85.2. p<0.001). Significant increases in load were demonstrated: split squat (p<0.001), trap bar deadlift (p=0.035), inclined dumbbell press (p<0.001), and bird dog rows (p<0.001). Dose-escalated resistance training in women with BC is safe and feasible, endorsing significant improvements across body composition, balance, and strength.

Iterative evaluation of mobile computer-assisted digital chest x-ray screening for TB improves efficiency, yield, and outcomes in Nigeria.

Wellness on Wheels (WoW) is a model of mobile systematic tuberculosis (TB) screening of high-risk populations combining digital chest radiography with computer-aided automated detection (CAD) and chronic cough screening to identify presumptive TB clients in communities, health facilities, and prisons in Nigeria. The model evolves to address technical, political, and sustainability challenges. Screening methods were iteratively refined to balance TB yield and feasibility across heterogeneous populations. Performance metrics were compared over time. Screening volumes, risk mix, number needed to screen (NNS), number needed to test (NNT), sample loss, TB treatment initiation and outcomes. Efforts to mitigate losses along the diagnostic cascade were tracked. Persons with high CAD4TB score (≥80), who tested negative on a single spot GeneXpert were followed-up to assess TB status at six months. An experimental calibration method achieved a viable CAD threshold for testing. High risk groups and key stakeholders were engaged. Operations evolved in real time to fix problems. Incremental improvements in mean client volumes (128 to 140/day), target group inclusion (92% to 93%), on-site testing (84% to 86%), TB treatment initiation (87% to 91%), and TB treatment success (71% to 85%) were recorded. Attention to those as highest risk boosted efficiency (the NNT declined from 8.2 ± SD8.2 to 7.6 ± SD7.7). Clinical diagnosis was added after follow-up among those with ≥ 80 CAD scores and initially spot -sputum negative found 11 additional TB cases (6.3%) after 121 person-years of follow-up. Iterative adaptation in response to performance metrics foster feasible, acceptable, and efficient TB case-finding in Nigeria. High CAD scores can identify subclinical TB and those at risk of progression to bacteriologically-confirmed TB disease in the near term.

Evaluation of functionality-mobility in patients with skeletal dysplasias. Application of the STEMS tool ("everyday symptoms and mobility screening tool for skeletal dysplasias").

Individuals with differing forms of skeletal dysplasias (SD) frequently report impaired mobility and symptoms. With the objetive to evaluate mobility and associated symptoms in people with SD at an Argentinian pediatric hospital, using an Argentinian version of the Screening Tool for Everyday Mobility and Symptoms (STEMS), a simple questionnaire that allows clinicians to quickly identify the presence of symptoms associated with mobility in people with SD, while considering different environmental settings and the use of assistive devices, an analytical study of a consecutive sample of patients older than 5 years with SD and their affected relatives was carried out.Diagnosis, comorbidities, socioenvironmental, therapeutic, auxological and mobility variables were recorded. The presence and intensity of symptoms was noted through use of both the STEMS and validated scales. Descriptive, association and correlation analyzes were performed. One hundred and nineteen individuals with SD were enrolled in the study and divided into groups: Osteogenesis Imperfecta (OI, n = 55), Achondroplasia (ACH, n = 36) and Other SD resulting in disproportionate short stature (n = 28). Mobility assistive devices were almost exclusively used by individuals with OI. They were more frequently used by individuals with overweight and obesity, more severe form of the disease and in the outdoor settings. Two thirds (66.4%) of the individuals assessed in this study reported pain, 87.4% reported fatigue, and 58.8% reported both pain and fatigue. The intensity of symptoms was similar between groups and correlated with age and auxological variables. The STEMS was clear, easy and quick to use for identifying presence of pain and fatigue in this population group. The STEMS proved to be a simple and useful tool for evaluating functional mobility and associated symptoms in our population of individuals with SD.

Health Screening Strategies for Artisanal and Small-Scale Miners for Tuberculosis, Human Immunodeficiency Virus and Silicosis: A Case of the USAID-Supported Kunda Nqob'iTB Project in Zimbabwe.

Artisanal and small-scale mining is characterized by excessive exposure to physical, chemical, ergonomic, psychosocial and biological hazards. There is a high burden of tuberculosis (TB), human immunodeficiency virus (HIV) infections and silicosis among artisanal and small-scale miners (ASMs). The aim of this project report is to describe lessons learned from strategies implemented to reach ASMs with screening services for TB, HIV and silicosis in Zimbabwe through the Kunda-Nqob'i TB (KNTB) project supported by the United States Agency for International Development (USAID). The intervention package for screening ASMs for TB, HIV and silicosis included service provision through two occupational health clinics at two provincial hospitals and a mobile workplace-based screening (WBS) facility at the mining sites. From 1 October 2020 to 30 September 2023, 10,668 ASMs were screened, with a high number of cases of silicosis (21%) and TB (7.4%). There was a high burden of HIV (30%) in ASMs attending the occupational health clinics. The two occupational health clinics screened 3453 ASMs, while the mobile WBS activities screened 7215 ASMs during the period. A total of 370 healthcare workers (doctors/clinical officers, nurses, environmental health technicians and district tuberculosis and Leprosy control officers) were trained on TB and the fundamental diagnostic principles of silicosis. The KNTB project has been successful in reaching out to many ASMs operating in remote and hard-to-reach mining areas. The KNTB project has brought to light the positive health-seeking behavior of ASMs operating in remote areas. The project has brought to the fore the effectiveness of multi-stakeholder engagement and collaboration in reaching out to ASMs in remote areas with health screening services. There is a high burden of TB, HIV and silicosis in ASMs. Screening for TB, HIV and silicosis using workplace-based screening and occupational health clinics is an effective strategy and should be rolled out to all areas with high artisanal and small-scale mining activity.

The Impact of Golden Ratio Application on User Satisfaction: A Study on Horizontal Scrolling in User Interface (UI) Design

The utilization of the golden ratio scheme is well-established for enhancing aesthetic appeal and visual harmony in various design contexts. However, its application in user interface (UI) design, particularly concerning mobile screen elements, has been less explored. The potential benefits of incorporating the golden ratio into UI elements in mobile applications remain unclear, primarily due to a lack of comprehensive understanding. This study investigates the impact of implementing the golden ratio in UI design, including its influence on user satisfaction. A sample of 114 participants, comprising designers, participated in the study. Result: the simple linear regression analysis revealed a 7.5% coefficient, indicating a positive relationship between the integration of the golden ratio and heightened user satisfaction. These findings offer valuable insights for UI designers, especially for designing mobile applications requiring expanded space, such as catalog apps. Nevertheless, further research is necessary to explore the golden ratio’s application in UI design for devices with smaller screens, like smartwatches or digital cameras.

Physical Activity Pattern among Undergraduate Medical Students in a Rural Medical College in Southkerala: A Cross-Sectional Study

Background: Physical inactivity is the prime contributor to one –third of the world’s adult population’s noncommunicablediseases. Doctors, in spite of their knowledge regarding the benefits, often find it hard to stick toa proper exercise regime and follow their own advice. This could be due to habits they picked up during theircollege years. The present study aims to estimate the proportion of physical activity among MBBS students of arural medical college in Kerala using WHO’s GPAQ questionnaire (Global Physical Activity Questionnaire) andalso to determine the factors associated with their physical activity pattern.Methodology: A descriptive cross sectional study was conducted among undergraduate medical students ofa private medical college in Thiruvananthapuram, Kerala, from December 2021 to April 2022. Physical activitypatterns were assessed using the WHO’s Global Physical Activity Questionnaire. An online questionnaire usingKobo Toolbox was developed and shared to record their physical activity patterns .Results: A total of 341 students participated in the study. The study showed that only 25% of students achievedabove 600 METs (Metabolic equivalents) and had adequate physical activities. The mean duration of hours spenton sedentary activities on average per day by the study participants was 6.75 hours (SD 3.6). Among the 341students, 78 (22.8%) reported that they were unable to do physical activities. The reasons for unable to do physicalactivities were study burden 48 (61%), engaging in other activities 35(44.8%), lack of motivation 22 (28.2%), lack offacilities 19 (24.5%), health issues 18 (23%) and environmental barriers 5 (6.5%),. Among the students with aboveaverage screen time, 71% of them were found to be physically inactive. and was found to be statistically significant.Conclusion: Medical institutions should have an adequate environment for physical activity. It is ideal to appointa physical education trainer and allot mandatory time for physical activities for a few hours every week. Studentsmust be encouraged to reduce time spent glued to their mobile screens. Hostels must have properly maintainedand easily accessible exercise areas with adequate equipment. Health awareness programs and marathons mustbe promoted.

Robust hydrogel sensor with good mechanical properties, conductivity, anti-swelling ability, water tolerance and biocompatibility

Versatile PVA/SG conductive hydrogel with robust mechanical properties, high conductivity, excellent anti-swelling ability, water tolerance, biocompatibility and sensitivity can monitor human joint motions and simulate human skin for writing text on a mobile phone screen.

Detección de &lt;i&gt;Staphylococcus aureus &lt;/i&gt;en teléfonos móviles de estudiantes de último año de odontología

Objective: The purpose of this study was to detect the incidence of S. aureus on mobile phone screens of last-year dental students using microbiological techniques. Methodology: Descriptive cross-sectional observational study. 92 samples were taken from mobile phone screens, S. aureus was identified by microbiological tests: mannitol fermentation, positive reactions to deoxyribonuclease, catalase and coagulase tests. Results: 16 strains of S. aureus 16/92 (17.4%) were isolated on mobile phone screens. 100% of the strains emerged positive reactions to deoxyribonuclease, catalase and coagulase tests. Conclusions: The presence of S. aureus is evidenced in cell phone screens of senior students’ mobile phones, which represents a risk for the spread of this pathogen.

Importance of Implementing Physical Education Since Childhood and Its Scope

Children's health issues have always been a focus of concern for schools, families, and society. Unfortunately, children are currently facing some potential health threats. For example, obesity caused by imbalanced diet and high calorie diet, sedentary behaviour caused by spending too much time in front of mobile phones or computer screens, and immune decline caused by insufficient physical activity. This study analysed the impact and scope of physical education activities on children and found that physical activities can improve overall quality of life by promoting a healthy lifestyle. Physical activities can help improve muscle strength and protect bones from fractures. Research has found that people engaged in physical education are healthier and more likely to break unhealthy eating habits than others. The importance of physical education is also reflected in its ability to cultivate children's cognitive abilities and improve their personality. It is recommended that schools, society, and families collaborate to promote children's comprehensive development and healthy growth through physical education.

Soil moisture forecasting for precision irrigation management using real-time electricity consumption records

The installation of the smart electricity meters (SEMs) to the high-density pumping wells in the North China Plain (NCP) provided a method to control the groundwater withdraw. The record in real-time electricity consumption from SEMs also provided an alternative method to forecast soil moisture to make irrigation decisions to improve irrigation efficiency. The irrigation timing and the irrigation amount could be obtained on-line from the SEMs based on the coefficients obtained for electricity-to-water conversion (E-Wc). The real-time recordings in the irrigation timing and amounts were further used to forecast the next irrigation timing and amount based on the water rights per area of land, the lower limit of soil water contents for different crops at their different growing stages and online meteorological data. A smartphone app was developed based on this framework. The running of the app to simulate soil water contents based on the soil water balance equation was supported by databases on soil texture, crop coefficients, water rights, E-Wc and threshold soil water content values as well as the real-time collection of electricity consumption and meteorological data. The simulated real-time soil water contents were shown on the mobile phone screen and could be compared with the threshold values for making irrigation decisions for users. The accuracy in forecasting the soil water contents using the methods developed in this framework was tested under different irrigation schedules for winter wheat and summer maize during 2018–2019 and 2021–2022, and the app was tested for three locations starting from sowing winter wheat in October 2022 to April in 2023. The results showed that the app could be easily run, and precise real-time soil water contents were simulated. With the application of the pumping well renovation project in the NCP, most of the pumping wells were installed with the SEMs, and using SEMs for groundwater pumping control and irrigation decisions should be possible.

Identifying and Addressing Barriers to Screening Mammography in a Medically Underserved Community

Rationale and ObjectivesBreast cancer mortality is 40% higher for Black women compared to White women. This study seeks to assess knowledge of breast cancer screening recommendations and identify barriers to risk assessment and mammographic screening among a medically underserved, low-income, predominantly Black community in West Philadelphia. Materials and MethodsDuring a free mobile mammography screening event, women were offered surveys to assess perceptions of and barriers to breast cancer risk assessment and screening. Among those who subsequently underwent mobile screening, health insurance and time to additional diagnostic imaging and biopsy, when relevant, were retrospectively collected. Results233 women completed surveys (mean age 54±13 years). Ninety-three percent of respondents identified as Black. The most frequently cited barrier to screening mammography was cost and/or lack of insurance coverage (30%). Women under 50 reported more barriers to screening compared to older women. Among those recalled from screening and recommended to undergo biopsy, there was a trend toward longer delays between screening and biopsy among those without a PCP (median 45 days, IQR 25–53) compared to those with a PCP (median 24 days, IQR 16–29) (p=0.072). ConclusionIn a study of a medically underserved community of primarily Black patients, barriers to breast cancer risk assessment, screening, and diagnosis were identified by self-report and by documented care delays. While free mobile mammography initiatives that bring medical professionals into communities can help mitigate barriers to screening, strategies for navigation and coordination of follow-up are critical to promote timely diagnostic resolution for all patients.

Provider perspectives on equity in use of mobile health autism screening tools.

Families may find information about autism online, and health care and education providers may use online tools to screen for autism. However, we do not know if online autism screening tools are easily used by families and providers. We interviewed primary care and educational providers, asking them to review results from online tools that screen for autism. Providers had concerns about how usable and accessible these tools are for diverse families and suggested changes to make tools easier to use.

Maternal mobile phone screen time during pregnancy and children's internalizing and externalizing behavioral problems

The behavioral problems of children and adolescents are becoming more and more serious, and the prevalence rate is increasing year by year. The overall trend is increasing, which has become one of the important public health issues of global concern. There are many influencing factors for behavioral problems in children and adolescents, including genetic, psychosocial, family and early life environment. Among them, maternal screen exposure during pregnancy is a contributing factor that deserves attention and has practical intervention significance. This study systematically evaluated the association between maternal mobile phone screen time during pregnancy and children's internalizing and externalizing behavioral problems, its potential biological mechanisms and relevant intervention measures, in order to create a good intrauterine environment for fetal neurodevelopment and further reduce the occurrence of children's behavioral problems.

Predictive underestimation of difficult direct laryngoscopy in a patient with rheumatoid arthritis-associated immobilized craniocervical junction

BackgroundThe upper cervical spine is a major focus of damage by rheumatoid arthritis (RA). Specific screening for mobility of the upper cervical spine, which is essential for direct laryngoscopy, is lacking. Herein, we present a case of RA with Cormack-Lehane grade IV, which was not predicted by preoperative examination.Case presentationA 66-year-old woman with RA was scheduled for a right total knee arthroplasty and right elbow synovectomy. She had a long history of RA without symptoms related to the cervical spine or spinal cord. Although physical examination suggested moderate risk of difficult intubation with preserved cervical retroflexion, her Cormack-Lehane classification was grade IV under muscle relaxation. Bony integration of the occiput to axis was considered to be the main cause of difficult direct laryngoscopy, and restricted neck rotation was found postoperatively.ConclusionsRA patients may have limited upper cervical spine motion despite normal cervical retroflexion.

Implementation of an early mobility protocol in the neuroscience ICU

Abstract &#x0D; Background: Early mobility is a safe and effective intervention to improve patient outcomes in the neuroscience intensive care unit (ICU). However, mobilization of patients in a neuroscience ICU within an academic medical center was suboptimal, with less than 36% of patients achieving their highest level of mobility.&#x0D; Aim: The purpose of the quality improvement project was to develop and implement a multidisciplinary early mobility protocol, including a safety-screening tool.&#x0D; Methods: Iterative Plan-Do-Study-Act cycles were implemented from April to August 2022. The screening tool assisted nurses in assessing the patient’s eligibility for early mobilization. A mobility section addressing patient-specific mobility screening, barriers to mobility, and a daily mobility plan was added to the provider note templates. Baseline data were collected from September to November 2021; post-implementation data were collected from April to August 2022.&#x0D; Results: There was a reduction in the mean time between admission to the first documented out of bed activity from 3.24 to 2.01 days, p=.061. The mean number of documented out of bed activities significantly increased from 6.13 to 8.35, p = .002. Hospital length of stay significantly decreased from 19.8 to 12.42 days, p=.006.&#x0D; Conclusions: Implementing an early mobility screening tool and protocol in the neuroscience ICU increased mobility for patients with neurological diagnoses. Other hospitals should consider implementing a similar process to help improve patient outcomes.