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https://www.readbyqxmd.com/read/28631506/the-influence-of-standards-and-clinical-guidelines-on-prosthetic-and-orthotic-service-quality-a-scoping-review
#1
Ebrahim Sadeghi-Demneh, Saeed Forghany, Pornsuree Onmanee, Ursula Trinler, Michael P Dillon, Richard Baker
OBJECTIVES: Standards and guidelines are an integral part of prosthetic and orthotic service delivery in the developed world underpinned by an assumption that they lead to improved services. Implementing them has a cost, however, and that cost needs to be justified, particularly in resource-limited environments. This scoping review thus asks the question, "What is the evidence of the impact of standards and guidelines on service delivery outcomes in prosthetics and orthotics?" MATERIALS AND METHODS: A structured search of three electronic databases (Medline, Scopus and Web of Science) followed by manual searching of title, abstract and full text, yielded 29 articles...
June 20, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28628594/telehealth-wearable-sensors-and-the-internet-will-they-improve-stroke-outcomes-through-increased-intensity-of-therapy-motivation-and-adherence-to-rehabilitation-programs
#2
Jane H Burridge, Alan Chong W Lee, Ruth Turk, Maria Stokes, Jill Whitall, Ravi Vaidyanathan, Phil Clatworthy, Ann-Marie Hughes, Claire Meagher, Enrico Franco, Lucy Yardley
BACKGROUND AND PURPOSE: Stroke, predominantly a condition of older age, is a major cause of acquired disability in the global population and puts an increasing burden on health care resources. Clear evidence for the importance of intensity of therapy in optimizing functional outcomes is found in animal models, supported by neuroimaging and behavioral research, and strengthened by recent meta-analyses from multiple clinical trials. However, providing intensive therapy using conventional treatment paradigms is expensive and sometimes not feasible because of social and environmental factors...
July 2017: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/28627224/real-time-smart-textile-based-system-to-monitor-pressure-offloading-of-diabetic-foot-ulcers
#3
Andrea Raviglione, Roberto Reif, Maurizio Macagno, Davide Vigano, Justin Schram, David Armstrong
BACKGROUND: The lifetime risk of developing a diabetic foot ulcer (DFU) is at least 25%. A DFU carries a 50% risk for infection and at least 20% of those receive some form of amputation. The most significant parameter that prevents or delays ulcer healing is high plantar pressure. To improve the patient's healing process, the DFU's plantar pressure should remain cumulatively low. Therefore, a tool that continuously measures the DFU loading, and provides real-time feedback can improve the healing outcome...
February 1, 2017: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/28590232/anesthesia-for-patients-with-mucopolysaccharidoses-comprehensive-review-of-the-literature-with-emphasis-on-airway-management
#4
REVIEW
Brittney M Clark, Juraj Sprung, Toby N Weingarten, Mary E Warner
Mucopolysaccharidoses (MPS) are rare, inherited, lysosomal storage diseases that cause accumulation of glycosaminoglycans, resulting in anatomic abnormalities and organ dysfunction that can increase the risk of anesthesia complications. We conducted a systematic review of the literature in order to describe the anesthetic management and perioperative outcomes in patients with MPS. We reviewed English-language literature search using an OVID-based search strategy of the following databases: 1) PubMed (1946-present), 2) Medline (1946-present), 3) EMBASE (1946-present), and 4) Web of Science (1946-present) using the following search terms: mucopolysaccharidosis, Hurler, Scheie, Sanfilippo, Morquio, Maroteaux, anesthesia, perioperative, intubation, respiratory insufficiency, and airway...
June 6, 2017: Bosnian Journal of Basic Medical Sciences
https://www.readbyqxmd.com/read/28582257/how-therapists-use-visualizations-of-upper-limb-movement-information-from-stroke-patients-a-qualitative-study-with-simulated-information
#5
Bernd Ploderer, Justin Fong, Marlena Klaic, Siddharth Nair, Frank Vetere, L Eduardo Cofré Lizama, Mary Pauline Galea
BACKGROUND: Stroke is a leading cause of disability worldwide, with upper limb deficits affecting an estimated 30% to 60% of survivors. The effectiveness of upper limb rehabilitation relies on numerous factors, particularly patient compliance to home programs and exercises set by therapists. However, therapists lack objective information about their patients' adherence to rehabilitation exercises as well as other uses of the affected arm and hand in everyday life outside the clinic. We developed a system that consists of wearable sensor technology to monitor a patient's arm movement and a Web-based dashboard to visualize this information for therapists...
October 5, 2016: JMIR Rehabil Assist Technol
https://www.readbyqxmd.com/read/28578320/utility-of-an-app-based-system-to-improve-feedback-following-workplace-based-assessment
#6
Janet Lefroy, Nicola Roberts, Adrian Molyneux, Maggie Bartlett, Simon Gay, Robert McKinley
Objectives: To determine whether an app-based software system to support production and storage of assessment feedback summaries makes workplace-based assessment easier for clinical tutors and enhances the educational impact on medical students. Methods: We monitored our workplace assessor app's usage by Year 3 to 5 medical students in 2014-15 and conducted focus groups with Year 4 medical students and interviews with clinical tutors who had used the apps. Analysis was by constant comparison using a framework based on elements of van der Vleuten's utility index...
May 31, 2017: International Journal of Medical Education
https://www.readbyqxmd.com/read/28561868/improving-critical-thinking-using-a-web-based-tutorial-environment
#7
Stephen M Wiesner, J D Walker, Craig R Creeger
With a broad range of subject matter, students often struggle recognizing relationships between content in different subject areas. A scenario-based learning environment (SaBLE) has been developed to enhancing clinical reasoning and critical thinking among undergraduate students in a medical laboratory science program and help them integrate their new knowledge. SaBLE incorporates aspects of both cognitive theory and instructional design, including reduction of extraneous cognitive load, goal-based learning, feedback timing, and game theory...
2017: Journal of Allied Health
https://www.readbyqxmd.com/read/28560938/defining-the-relevant-outcome-measures-in-medical-device-assessments-an-analysis-of-the-definition-process-in-health-technology-assessment
#8
Esther Jacobs, Sunya-Lee Antoine, Barbara Prediger, Edmund Neugebauer, Michaela Eikermann
BACKGROUND: Defining relevant outcome measures for clinical trials on medical devices (MD) is complex, as there is a large variety of potentially relevant outcomes. The chosen outcomes vary widely across clinical trials making the assessment in evidence syntheses very challenging. The objective is to provide an overview on the current common procedures of health technology assessment (HTA) institutions in defining outcome measures in MD trials. METHODS: In 2012-14, the Web pages of 126 institutions involved in HTA were searched for methodological manuals written in English or German that describe methods for the predefinition process of outcome measures...
May 31, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28559495/temporal-trends-in-adverse-events-after-everolimus-eluting-bioresorbable-vascular-scaffold-versus-everolimus-eluting-metallic-stent-implantation-a-meta-analysis-of-randomized-controlled-trials
#9
Rocco A Montone, Giampaolo Niccoli, Federico De Marco, Silvia Minelli, Fabrizio D'Ascenzo, Luca Testa, Francesco Bedogni, Filippo Crea
BACKGROUND: Bioresorbable coronary stents have been introduced into clinical practice to improve the outcomes of patients treated with percutaneous coronary intervention. The everolimus-eluting bioresorbable vascular scaffold (BVS) is the most studied of these stent platforms; however, recent trials comparing BVS with everolimus-eluting metallic stents (EES) raised concerns about BVS safety. We aimed to assess the efficacy and safety of BVS versus EES in patients undergoing percutaneous coronary intervention...
May 30, 2017: Circulation
https://www.readbyqxmd.com/read/28558877/mhealth-for-mental-health-in-the-middle-east-need-technology-use-and-readiness-among-palestinians-in-the-west-bank
#10
Dror Ben-Zeev, Cherie Fathy, Geneva Jonathan, Batoul Abuharb, Rachel M Brian, Lana Kesbeh, Samer Abdelkader
Palestinians in the West Bank are at heightened risk for mental health problems. Limited availability of clinicians and a host of geopolitical, topographical, and infrastructural challenges create significant regional barriers to clinic-based care. The objective of this study was to examine whether mHealth approaches that leverage mobile phones for remote mental health treatment may be viable alternatives. We surveyed 272 Palestinian adults in urban, rural, and refugee camp settings. Most participants (93.4%) reported owning mobile phones...
June 2017: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/28555461/high-flow-nasal-cannulae-for-respiratory-support-in-adult-intensive-care-patients
#11
REVIEW
Amanda Corley, Claire M Rickard, Leanne M Aitken, Amy Johnston, Adrian Barnett, John F Fraser, Sharon R Lewis, Andrew F Smith
BACKGROUND: High-flow nasal cannulae (HFNC) deliver high flows of blended humidified air and oxygen via wide-bore nasal cannulae and may be useful in providing respiratory support for adult patients experiencing acute respiratory failure in the intensive care unit (ICU). OBJECTIVES: We evaluated studies that included participants 16 years of age and older who were admitted to the ICU and required treatment with HFNC. We assessed the safety and efficacy of HFNC compared with comparator interventions in terms of treatment failure, mortality, adverse events, duration of respiratory support, hospital and ICU length of stay, respiratory effects, patient-reported outcomes, and costs of treatment...
May 30, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28546138/mental-health-mobile-apps-for-preadolescents-and-adolescents-a-systematic-review
#12
REVIEW
Rebecca Grist, Joanna Porter, Paul Stallard
BACKGROUND: There are an increasing number of mobile apps available for adolescents with mental health problems and an increasing interest in assimilating mobile health (mHealth) into mental health services. Despite the growing number of apps available, the evidence base for their efficacy is unclear. OBJECTIVE: This review aimed to systematically appraise the available research evidence on the efficacy and acceptability of mobile apps for mental health in children and adolescents younger than 18 years...
May 25, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28536095/development-of-a-modular-research-platform-to-create-medical-observational-studies-for-mobile-devices
#13
Martin Zens, Birgit Grotejohann, Adrian Tassoni, Fabian Duttenhoefer, Norbert P Südkamp, Philipp Niemeyer
BACKGROUND: Observational studies have proven to be a valuable resource in medical research, especially when performed on a large scale. Recently, mobile device-based observational studies have been discovered by an increasing number of researchers as a promising new source of information. However, the development and deployment of app-based studies is not trivial and requires profound programming skills. OBJECTIVE: The aim of this project was to develop a modular online research platform that allows researchers to create medical studies for mobile devices without extensive programming skills...
May 23, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28536089/smart-devices-for-older-adults-managing-chronic-disease-a-scoping-review
#14
REVIEW
Ben Yb Kim, Joon Lee
BACKGROUND: The emergence of smartphones and tablets featuring vastly advancing functionalities (eg, sensors, computing power, interactivity) has transformed the way mHealth interventions support chronic disease management for older adults. Baby boomers have begun to widely adopt smart devices and have expressed their desire to incorporate technologies into their chronic care. Although smart devices are actively used in research, little is known about the extent, characteristics, and range of smart device-based interventions...
May 23, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/28529423/spring-loaded-syringe-for-multiple-rapid-injections
#15
C R Srinivas, Anirudh Somani, C K Shashidharan Nair, Thirumurthy Mylswamy
Mesotherapy refers to multiple injections of small quantity of the drug over a large area. The mesoguns available are expensive and the motor-driven models tends to waste the expensive material to be injected since the plunger stops after injecting without recoil. We searched for a less expensive device which would inject like the mesogun and still not waste the solution. On searching the web, we identified a spring-loaded syringe. We describe the assembly and use of this inexpensive syringe for delivering multiple injections with minimal wastage...
January 2017: Journal of Cutaneous and Aesthetic Surgery
https://www.readbyqxmd.com/read/28526640/zero-profile-spacer-versus-cage-plate-construct-in-anterior-cervical-discectomy-and-fusion-for-multilevel-cervical-spondylotic-myelopathy-a-systematic-review-and-meta-analysis
#16
Min-Ji Tong, Guang-Heng Xiang, Zi-Li He, De-Heng Chen, Qian Tang, Hua-Zi Xu, Nai-Feng Tian
BACKGROUD: Anterior cervical discectomy and fusion (ACDF) with plate-screw construct has been gradually applied for multilevel cervical spondylotic myelopathy (CSM) in recent years. However, long cervical plate was associated with complications including breakage or loosening of plate and screws, trachea-esophageal injury, neurovascular injury, and postoperative dysphagia. To reduce these complications, the zero-profile spacer has been introduced. This meta-analysis was performed to compared the clinical and radiological outcomes of zero-profile spacer versus cage-plate construct for the treatment of multilevel cervical spondylotic myelopathy...
May 16, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28510500/using-big-data-to-guide-implementation-of-a-web-and-mobile-adaptive-learning-platform-for-medical-students
#17
Ashwin Menon, Shiv Gaglani, M Ryan Haynes, Sean Tackett
BACKGROUND: Adaptive learning platforms (ALPs) can revolutionize medical education by making learning more efficient, but their potential has not been realized because students do not use them persistently. METHODS: We applied educational data mining methods to study United States medical students who used an ALP called Osmosis ( www.osmosis.org ) from 1 August 2014 to 31 July 2015. Multivariate logistic regressions modeled persistence on Osmosis as the dependent variable and Osmosis-collected variables as predictors...
May 16, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28507515/reusable-client-side-javascript-modules-for-immersive-web-based-real-time-collaborative-neuroimage-visualization
#18
Jorge L Bernal-Rusiel, Nicolas Rannou, Randy L Gollub, Steve Pieper, Shawn Murphy, Richard Robertson, Patricia E Grant, Rudolph Pienaar
In this paper we present a web-based software solution to the problem of implementing real-time collaborative neuroimage visualization. In both clinical and research settings, simple and powerful access to imaging technologies across multiple devices is becoming increasingly useful. Prior technical solutions have used a server-side rendering and push-to-client model wherein only the server has the full image dataset. We propose a rich client solution in which each client has all the data and uses the Google Drive Realtime API for state synchronization...
2017: Frontiers in Neuroinformatics
https://www.readbyqxmd.com/read/28495005/developing-a-ubiquitous-health-management-system-with-healthy-diet-control-for-metabolic-syndrome-healthcare-in-taiwan
#19
Yao-Chiang Kan, Kai-Hong Chen, Hsueh-Chun Lin
BACKGROUND AND OBJECTIVE: Self-management in healthcare can allow patients managing their health data anytime and everywhere for prevention of chronic diseases. This study established a prototype of ubiquitous health management system (UHMS) with healthy diet control (HDC) for people who need services of metabolic syndrome healthcare in Taiwan. METHODS: System infrastructure comprises of three portals and a database tier with mutually supportive components to achieve functionality of diet diaries, nutrition guides, and health risk assessments for self-health management...
June 2017: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/28492438/advancing-safety-in-intrathecal-analgesia-a-novel-web-based-pharmacologic-requisition-platform-and-data-repository-for-intrathecal-drug-delivery-devices
#20
Christopher M Sobey, Chad R Greene, Lindsay J Ford, Jenna L Walters, Marc A Huntoon
No abstract text is available yet for this article.
July 2017: Regional Anesthesia and Pain Medicine
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