interactive Journal of Medical Research
A general medical journal, focusing on innovation in health and medical research
i-JMR is a general medical journal with a focus on innovation in health, health care, and medicine - through new medical techniques and innovative ideas and/or research, including - but not limited to - technology, clinical informatics, or groundbreaking research.
Published by JMIR Publications, publisher of JMIR, the leading eHealth/mHealth journal (Impact Factor 2015: 4.532), i-JMR is a JMIR "sister journal" which features a rapid and thorough peer-review process, professional copyediting, professional production of PDF, XHTML, and XML proofs.
i-JMR is indexed in PubMed and archived in PubMed Central.
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Latest Submissions Open for Peer-Review:View All Open Peer Review Articles
A Prospective Observational Trial: Testing the Feasibility of Remote Patient Monitoring in Prenatal Care using a Mobile App and Connected Devices
Date Submitted: Jun 7, 2016
Open Peer Review Period: Jun 10, 2016 - Aug 5, 2016
Background: Excessive weight gain and elevated blood pressure are significant risk factors for adverse pregnancy outcomes such as gestational diabetes, premature birth and preeclampsia. More effectiv...
Background: Excessive weight gain and elevated blood pressure are significant risk factors for adverse pregnancy outcomes such as gestational diabetes, premature birth and preeclampsia. More effective strategies to facilitate adherence to gestational weight gain goals and monitor blood pressure may have a positive health benefit for pregnant women and their babies. The impact of utilizing a remote patient monitoring system to monitor blood pressure and weight gain as a component of prenatal care has not been previously assessed. Objective: The aim of this study is to determine the feasibility of monitoring patients remotely in prenatal care using a smartphone app and connected digital devices. Methods: In this prospective observational study, we recruited eight women with low risk pregnancy in the first trimester at an urban academic medical center. Participants received a smartphone app with connected digital weight scale and blood pressure cuff for at-home data collection for the duration of pregnancy. At-home data was assessed for abnormal values of blood pressure or weight to generate clinical alerts to patient and provider. As measures of feasibility of the system, patients were studied for engagement with the app, accuracy of remote data, efficacy of alert system and patient satisfaction. Results: Patient engagement with the mobile app averaged 5.5 times per week over the six-month study period. Weight data collection averaged 1.5 times per week and blood pressure data collection averaged 1.1 times per week. At-home measurements of weight and blood pressure were highly accurate compared to in-office measurements. Automatic clinical alerts identified two episodes of abnormal weight gain with no false triggers. Patients demonstrated high satisfaction with the system. Conclusions: In this pilot study, we demonstrated that a system using a smartphone app coupled to remote monitoring devices is feasible for prenatal care. Clinical Trial: Approved by the GWU IRB. IRB# 051422.
A criteria-based evaluation of Internet sites of orthodontists in private practice
Date Submitted: Jun 3, 2016
Open Peer Review Period: Jun 6, 2016 - Aug 1, 2016
Background: Health-related use of the Internet has increased markedly in recent years. The Internet offers patients not only information on diseases and therapy options, but also the possibility to se...
Background: Health-related use of the Internet has increased markedly in recent years. The Internet offers patients not only information on diseases and therapy options, but also the possibility to search for dentists using physician directories or websites. For privately practicing dentists, having a website serves as an important tool for marketing and recruiting new patients. Objective: This study aimed to investigate existence, frequency, and quality of websites of privately practicing orthodontists. Methods: Internet sites of orthodontists listed with the association of statutory health insurance physicians in five German states were investigated. Websites were evaluated according to 68 operationalized criteria and data analyzed based to hypotheses. Results: The majority of orthodontists (368 of 619; 59.5%) had a website. The frequency of websites differed in terms of region (city states 66.8% vs. territorial states 55.2%; P=.005), and practice type (single physician practice 40.6% vs. multiple physician practice 59.2%), but not in terms of gender (P=.43). The mean overall score was 43.0% (29.2/68 points). More information was found on therapy options (74.7%) and extra services (61.7%) than on clinical pictures treated (30.8%) or corresponding diagnostics (25.7%). Legal requirements (publisher’s information 43.5%; data protection declaration 43.2%) were oftentimes not fully met. Conclusions: Orthodontists’ websites focused on marketing aspects, whereas a higher value should be placed on patient-oriented content. Since legal requirements were oftentimes only met with deficiencies, there is a clear need for optimization in this regard. Orthodontists did not make use of all available web functions, in particular those with advanced potential (e.g. social media integration). Recommendations are desirable from the competent professional associations regarding the content and form of websites for dental practices.