Primary & Prevention Care Category

Primary prevention seeks to prevent the onset of specific diseases via risk reduction by altering behaviours or exposures that can lead to disease.

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This category includes all primary and prevention care submissions:

[Team 106] Makan Menu

Makan menu is an interactive app that allows users to track how much calories or fluids they have consumed in a day based on the pictorial image of common food items consumed in the 4 varied ethnic group in Singapore. The app will allow users to estimate based on the pictorial images of food they have selected and inform them of the remaining calories they are allowed to consume in any given day. Users with specific health conditions such as high blood pressure; diabetes; gestational diabetes and arthritis may have an in-app restriction feature that ensures users are aware of food they are not allowed to consume based on their medical condition. The app is not just centered on diseased individuals, rather on healthy people. It is an app to empower individuals to choose to eat and live healthily, making informed food choices in their busy lives. It effortlessly incorporates users to be well aware of their daily calorie intake and food consumption pattern; enabling users to develop food habits and preventive measures especially individuals at high risk for hereditary chronic diseases.

This team will work with Row Analytics, UK. Row Analytics specialises in powerful analytics to deliver personalization at scale – guiding individuals through a complex world, enabling better health, better business and better informed, more loyal consumers. Their analyses scale to enormous problems – e.g., safety critical systems using 10,000 variables and a state space with over 101,000 combinations. Together, they will be work together to prsent their innovative solution. 

[Team 111] Preventing Falls in Toilets

Ongoing efforts to reduce the fall rate when patients are alone in the toilets have not been addressed. As toileting needs are very personal to a person, most of the time the patients are uncomfortable to call for help when they go to the toilet. When a patient falls in the toilet, they will sustain injuries from knocking onto toilet accessories. Not only does the patient get hurt, their hospital stay gets prolonged and incur a larger hospital bill. Nurses are not aware when a patient goes to toilet as they feel uncomfortable to seek nurse’s assistance. If patient is being accompanied by the nurse, they are not able to assist the patient throughout the toileting process as patient will request for privacy. As a result, the nurses will not be alerted when the patient complete his or her toileting. The nurse will only be alerted if patient calls or if the nurse closely monitors the patient by keeping the toilet door slightly ajar. Most of the time when the nurses get alerted, it is too late as the patient may have already lost their balance and sustained injuries. The team proposed for a prototype that alerts the nurse when the patient gets off the toilet bowl. In the market, there are fall exit alarms on beds when an alarms get activated when the patient get off from the bed. A similar concept can be created in the toilets.

This team will work with TCAM Technology Pte Ltd. TCAM Technology’s core competencies are in wireless telemetry products related to SMS/3G/LpWAN, for applications in M2M (Machine to Machine) , IoT (Internet of Things), AMR (Automatic Meter Reading) and SCADA (Supervisory Control And Data Acquisition). One of their solution is the TMAS Smart IoT Gateway, which is an intelligent Elderly Monitoring and Alert System with smart elderly profile analysis and accurate emergency detection. This system applies self-learning algorithms and constantly adjust its emergency detection criteria to adapt to elderly daily routine. As a results, this system achieves quick setup, highly flexible, minimum false alarm, non-intrusive etc.

[Team 117] To Enhance the Effectiveness of Hands Infection Prevention Control Leveraging on Advanced Medical Technology (MedTech) – Hand Disinfection System

Effective infection control measures is critical to the prevention of spreading of diseases. The Centers for Disease Control and Prevention (CDC) estimates 80% of all infections are transmitted by hands. Touching face with contaminated hands spreads illnesses like cold and flu. Frequent hand washing can help curb the above onset of disease outbreak. However, to be effective, the recommended washing time is 15~30 seconds. Unfortunately, the average person spends less than 10 seconds washing their hands. In hospital, maintain cleanliness is paramount. However, it is impractical for healthcare staff to wash their hands often. Hence, hand sanitizers are mass deployed to the extent that there is one on each patient’s bed. Study showed that 30 seconds of using hand sanitizer kills as much bacteria as 2 minutes of handwashing. Though effective, the challenge is for every staff to be conscientious to carry out optimal disinfection procedure by thoroughly rubbing all exposed surfaces of the hands for at least 30 seconds then allowed to air dry. This manual cleaning is laborious and staff prefer a faster yet effective cleansing method. For a typical scenario, a doctor sees an average of 30 patients in his clinic daily; meaning he will have to sanitize manually 30 times daily! Moreover, there are dangers of using hand sanitizers: (1) Danger of drinking hand sanitizer resulting in alcohol poisoning. (2) Research shows hand sanitizers with triclosan may lead to hormonal disruptions. (3) Scented hand sanitizers have hidden toxic chemicals . With the above washing and sanitizing pros and cons, it is time we harness on technology to shorten this laborious cleansing. We shall strive to harness technology to improve hand hygiene.

The technology partner has yet to be confirmed. 

 [Team 127] Uber for Psychotherapy and Counseling

In 2014, one of the team members experienced a period when he had a personal problem in his social life that caused him to be very sad, and lonely to the point he felt suicidal at times. He had friends to be there with him. However, there was one night that his friends weren’t available so he didn’t have anything that night to bring him out of his break down. He felt suicidal and started googling suicidal method. He stumbled upon a suicide hotline instead. He called it and got talked out of it. Two years later, surviving that incident, he pondered deeply about it and realized that there are problems that that he needs to solve. (1) Price per session is too high (2) No easy and convenient way exists to book for an appointment. You have to research for a counselor/counselor, call, book a schedule, and wait for the day. If you’re depressed or down, you won’t have the motivation and time to do that (3) Time available for appointment is inconvenient especially for workers who have 8-5 jobs (4) Privacy for people who fear of the huge stigma and misconception about going to a counselor/psychologist to the point that people are anxious, scared, or intimidated to go to one. They’re afraid of people or parents finding out they went to a psychologist (5) Location of the clinic can be inaccessible especially with bad traffic. This team proposes an on-demand and instant booking of a psychologist or counselor over the net either via the chat, or voice, with or without a webcam. 

This team will be working with a team from De La Salle UniversityDe La Salle University positions itself as a leader in molding human resources who serve the church and the nation. It is a Catholic coeducational institution founded in 1911 by the Brothers of the Christian Schools. The University is a hub for higher education training renowned for its academic excellence, prolific and relevant research, and involved community service. 

[Team 128] BOTTOMS UP!! Pressure Ulcer Education and Skills Training for People with a Spinal Cord Injury

Spinal Cord injury is a disease characterised by muscle paralysis and loss of sensation over the affected body parts. The loss of sensation can result in pressure ulcer over the area that is subjected to prolonged pressure; commonly at the buttock and back regions due to prolonged sitting and lying down. The reported prevalence of pressure ulcer in people with spinal cord injury ranges from 30 to 50%; it also accounts for up to 50% of hospital readmissions. Treatment of pressure ulcers is not only expensive; it is also labour intensive. The presence of a pressure ulcer is associated with other negative impacts on the patients such as depression, dependency, loss of productivity and risk of serious infections. Education and pressure relief are effective preventive strategies to play a significant part in preventing the occurrence of pressure ulcers. Patient education include the cause, risk and early identification of pressure ulcer, and the importance of preventive methods. Pressure relief techniques effective for prevention of pressure ulcers involve lifting up the area at risk (areas that are in contact of any surfaces) regularly to enable blood flow to the area to recover. When a person is on a wheelchair, he is advised to either do push-ups (lifting up the buttocks), side leaning or front bending. These techniques sound simple to do, but in reality they are difficult tasks for persons who have just sustain a spinal cord injury and is still adjusting to being paralyzed. These educational and pressure relief techniques are usually performed early in the course of rehabilitation treatment. What we want is an intervention that can enrich and optimize learning experience, not only to facilitate teaching but enable us to gauge how much patient has learned and the ability to doing this assessment repeated time. In addition, the intervention must enable patient to master the skills in an incremental manner as that is expected for them; it must enable personalised targets set for each patients. Through the intervention, a patient could have direct and objective feedback on whether he perform the pressure relief techniques adequately, he knows how much he has learned about pressure ulcer and he himself and the therapists are able to monitor their improvement over time. He is able to practice and improve his own skills himself without the supervision of the therapists whilst he is resting in bed. The ability to deliver the education and skill training in an interactive and engaging manner would mean that learning is more exciting and hopefully that gives the motivation to achieve more with each session of therapy.

The technology partner has yet to be confirmed. 

[Team 132] Project FoodLoop

One of the major modifiable risk factors for diabetes is diet. In addition, a poor diet also compounds other risk factors such as hypertension. Diet, however, is often limited by the difficulty of accurate assessment. Thus, we envision the development of a mobile application that will first and foremost, be easily accessible by all users. With a high volume of people eating out regularly, we additionally aim for users to be able to keep tab on their food consumption on-the-go, allowing for real-time input and the receival of information at their fingertips. Our solution is a cost-effective and intuitive mobile application, involving recognising food and informing the user on its nutritional content. A secondary objective would be for users to set meal/daily nutrition limits and for the application to provide a reminder should the food be in excess of that limit. Another secondary objective would be to allow their food intake, diet, sugar levels, and medicine intake to be saved for further review, for instance, by dieticians and doctors in the hospital’s outpatient/inpatient setting. Even though similar applications have been developed previously, there are currently no applications that contain data on Asian food. We aim for our application to be tailored to our local population, with a specific emphasis on creating a map of Asian food. Image recognition, a form of artificial intelligence and deep learning, will be used to train the application to recognise different types of food. Users will then be able to take photos of their food items and upon recognition, the application will then inform the user on its calorie count and their total recommended calorie allowance. Upon repeated usage, the application will furthermore allow for customisation via validating the user’s dietary habits and setting dietary suggestions based on these habits. For instance, if the user is diabetic and tends to consume food that contains too much sugar, the application will thus provide suggestions for healthier alternatives. We ultimately aim to minimise diet as a risk factor in the general and diabetic populations.

The technology partner has yet to be confirmed. 

[Team 137] The HIV App

The disease is hitting the younger Filipinos aged 15-24, and homosexual contact being the predominant mode of transmission with 87% of the total new infections. Less than half of the individuals belonging to the most-at-risk population have no correct knowledge of basic HIV information. The distribution of the positive cases in the Philippines is largely concentrated in the National Capital Region. There is a need for an intensified strategy both in health promotion and treatment services and our team believes that information technology is the answer. The goal is to develop an app that would bridge the gap between HIV healthcare and the people who are at risk and who have contracted the disease already. The HIV app can help the HIV and Sexually Transmitted Infection programs in the Philippines by mainly increasing awareness. People can know more about HIV and how it is transmitted by browsing the app anywhere – anytime. One can get instant HIV basic information, including risk assessment, just by a click of a button. Individuals who want to have their blood tested can get testing info using the app (eg. type of specimen, test fees, laboratory assays, etc.). In addition, there will be a map that will contain a testing site locator so people would know the nearest clinic or laboratory that offers HIV counseling and testing services.At present, there are 15,035 people living with HIV (PLHIV) accessing treatment in 37 treatment and satellite hubs nationwide. Another goal is to develop a phone application that would function as a personal secretary that would monitor the health data of an HIV positive individual. It would also be a reminder application for medicine intake, upcoming consultations, anti-retroviral drug refills, and other HIV related services.

This team will be working with a team from De La Salle University. De La Salle University positions itself as a leader in molding human resources who serve the church and the nation. It is a Catholic coeducational institution founded in 1911 by the Brothers of the Christian Schools. The University is a hub for higher education training renowned for its academic excellence, prolific and relevant research, and involved community service.

[Team 151] Dyslexia: Causes, Effects, and Possible Interventions

People with dyslexia may have difficulty correctly perceiving given visual symbols, such as reversing or omitting letters. In addition, they may have difficulty with making correct letter-to-sound correspondence, which leads to difficulty in reading per syllable. Their ability to comprehend what they have read, or what is said to them, may also be affected. They may also have difficulty with correctly sequencing series of letters, which in turn leads to spelling concerns. Specific to the school context, students with dyslexia may exhibit behavior that can be misinterpreted as unexpected or inappropriate. Initially, they may be seen as “lazy” or “uninterested” by their respective teachers when given reading activities, mainly because the demand for the task is arduous for them. When they are reading, they may do it in a slow and effortful manner, which may lead to them being unable to catch up with the rest of the class. In addition, they may also take more time when copying written texts. Functional applications outside the school context that may be impaired by difficulty in reading include reading and understanding common signs and symbols, driving, engaging in text-based hobbies (e.g. leisure reading, and playing text-based games), and engaging in social interactions. Dyslexia can be addressed using various means, either directly or indirectly. Direct means include the use of reading programs specifically designed to enhance the persons’ capability to read. An example of an approach dedicated on teaching reading is the Orton-Gillingham approach. It is a structured, multi-sensory approach which focuses first in teaching letters and their corresponding sounds. As the person achieves mastery with letter-to-sound correspondence, they then proceed to recognizing such sounds in words, which is then translated to written communication (as the person would connect spoken sounds to written text). Indirect means target concerned skills related to reading, such as visual perception, auditory discrimination, and language processing. These skills area addressed using special tests or activities related to the person’s pertinent concern. For example, if a person perceives letters in reverse (e.g. “b” as “d”), activities targeting spatial relations, such as copying 3D blocks. Other activities also involve the use of similar-looking figures with minute differences (for visual discrimination), and use of word search puzzles or Bingo to look for specific forms and sequences of letters (for visual sequential memory). For auditory discrimination, the person may be asked whether the following words stated to them are the same or different (e.g. “ball, fall” & “mall, mole”). These skills may be initially assessed using standardized tools (such as Test of Visual Perception Skills – Third Edition [TVPS-3] and Test of Auditory Processing Skills – Third Edition [TAPS-3]), and may be reassessed after a period of time to note objective changes in their skills.

This team will be working with a team from De La Salle UniversityDe La Salle University positions itself as a leader in molding human resources who serve the church and the nation. It is a Catholic coeducational institution founded in 1911 by the Brothers of the Christian Schools. The University is a hub for higher education training renowned for its academic excellence, prolific and relevant research, and involved community service.

[Team 155] Fit Family

The prevalence of non-communicable diseases (NCDs) and NCD risk factors in Malaysia have risen substantially in the last two decades. The Malaysian Adult Nutrition Survey (MANS) conducted in 2003 showed that only one out of six adults had adequate exercise. This goes to show that sedentary behaviour has become a norm in Malaysian society. A major finding of this survey was that obesity in adults increased three-fold from 4.4% in 1996 to 15.1%, while overweight in adults increased two-fold from 16.6% to 29.4%. This increasing obesity and inactivity arc continues to drive the worsening diabetes mellitus, hypertension and cardiovascular epidemics in Malaysia, creating a growing burden on both the health system and the economic system, making them increasingly unable to cope with the huge increased burden of these diseases. We think that there are few factors which makes long-term physical activity sustainable. These are: (i) Group physical activity is more sustainable in the long-term (ii) Physical activity which is monitored and measured drives long-term sustainability (iii) Competition and reward as an underlying psychological motivational force for engaging in physical activity (iv) Economic incentives for driving motivational and behavioural change. The Fit Family thus is a platform to engage urban families to indulge in physical activity together, motivated to to do so as a ‘family unit’ while building on strong psychological behavioural concepts to enhance and sustain their participation; supported by robust, cost-effective health technology.

The technology partner has yet to be confirmed.