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Digital interventions

Marianne Said, Nabil K El Ayoubi, Salem Hannoun, Ribal Haddad, Leslie Saba, Youmna Jalkh, Bassem I Yamout, Samia J Khoury
BACKGROUND: Prevention of long-term disability is the goal of therapeutic intervention in Relapsing Remitting MS (RRMS). The Bayesian Risk Estimate for MS at Onset (BREMSO) gives an individual risk score predicting disease evolution into Secondary Progressive MS (SPMS). We investigated whether BREMSO correlates with physical disability, cognitive dysfunction, and regional brain atrophy early in MS. METHODS: One hundred RRMS patients with at least two years of follow-up were enrolled...
September 13, 2018: Multiple Sclerosis and related Disorders
Asli Beril Karakas, Figen Govsa, Mehmet Asım Ozer, Cenk Eraslan
The three-dimensional (3D) visualization of dural venous sinuses (DVS) networks is desired by surgical trainers to create a clear mental picture of the neuroanatomical orientation of the complex cerebral anatomy. Our purpose is to document those identified during routine 3D venography created through 3D models using two-dimensional axial images for teaching and learning neuroanatomy. Anatomical data were segmented and extracted from imaging of the DVS of healthy people. The digital data of the extracted anatomical surfaces was then edited and smoothed, resulting in a set of digital 3D models of the superior sagittal, inferior sagittal, transverse, and sigmoid, rectus sinuses, and internal jugular veins...
September 21, 2018: Journal of Digital Imaging: the Official Journal of the Society for Computer Applications in Radiology
Dennis P Watson, Emily Q Ahonen, Valery Shuman, Molly Brown, Sam Tsemberis, Philip Huynh, Fangqian Ouyang, Huiping Xu
BACKGROUND: This paper discusses the initial testing of the Housing First Training and Technical Assistance (HFTAT) Program, a multifaceted, distance-based strategy for the implementation of the Housing First (HF) supportive housing model. HF is a complex housing intervention for serving people living with serious mental illness and a substance use disorder that requires significant individual- and structural-level changes to implement. As such, the HFTAT employs a combined training and consultation approach to target different levels of the organization...
September 21, 2018: Substance Abuse Treatment, Prevention, and Policy
Wendy Kar Yee Ng, Neil Olmscheid, Kellen Worhacz, Debra Sietsema, Scott Edwards
BACKGROUND: Open surgical release of the A1 pulley is the definitive treatment for the common hand condition of trigger finger, or inflammatory stenosing tenosynovitis. Anecdotal evidence among hand surgeons has questioned whether or not recent steroid injection may be related to complications following open trigger finger release, particularly wound infection, but no studies have primarily studied this connection to date. We aimed to determine whether recent steroid injection was associated with postoperative surgical infections...
September 21, 2018: Hand: Official Journal of the American Association for Hand Surgery
Joshua M Cohen, Rachel A Sibley, Ernest S Chiu, Sheel Sharma
GENERAL PURPOSE: To provide information about the pathophysiology, diagnosis, and treatment options for systemic sclerosis. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After participating in this educational activity, the participant should be better able to:1. Describe the pathophysiology, signs, symptoms, and diagnosis of systemic sclerosis...
October 2018: Advances in Skin & Wound Care
Julien Lucas, Kinda Khalaf, James Charles, Jorge J G Leandro, Herbert F Jelinek
Arch height is an important determinant for the risk of foot pathology, especially in an aging population. Current methods for analyzing footprints require substantial manual processing time. The current research investigated automated determination of foot type based on features derived from the Gabor wavelet utilizing digitized footprints to allow timely assessment of foot type and focused intervention. Two hundred and eighty footprints were collected, and area, perimeter, curvature, circularity, 2nd wavelet moment, mean bending energy (MBE), and entropy were determined using in house developed MATLAB codes...
2018: Frontiers in Physiology
Subba Rao Bhavaraju
A paradigm shift in human evolution, from our predecessors, the 'hunter-gatherers' to the 'era of digital revolution', has made certain human skills more and more machine driven. This digital revolution has made possible a constant connectivity, wearable technologies, customized platforms, enormous data storage and cloud computing at high speeds, smart phones and apps, internet of things, artificial intelligence, telemedicine, etc. These have made real-time monitoring and interventions possible in healthcare...
September 2018: Neurology India
Kate M Bell, Jessica E Haberer
PURPOSE OF REVIEW: Current digital technologies are being used for "actionable adherence monitoring"; that is, technologies that can be used to identify episodes of non-adherence to ART in a timely manner such that tailored interventions based on adherence data can be provided when and where they are needed most. RECENT FINDINGS: Current digital communication technologies used to monitor ART adherence include electronic adherence monitors (EAMs), digital ingestion monitors, cellular phones, and electronic pharmacy refill tracking systems...
September 19, 2018: Current HIV/AIDS Reports
Yi Cao, Jian Gao, Defu Lian, Zhihai Rong, Jiatu Shi, Qing Wang, Yifan Wu, Huaxiu Yao, Tao Zhou
Quantitative understanding of relationships between students' behavioural patterns and academic performances is a significant step towards personalized education. In contrast to previous studies that were mainly based on questionnaire surveys, recent literature suggests that unobtrusive digital data bring us unprecedented opportunities to study students' lifestyles in the campus. In this paper, we collect behavioural records from undergraduate students' ( N = 18 960) smart cards and propose two high-level behavioural characters, orderliness and diligence...
September 19, 2018: Journal of the Royal Society, Interface
Benjamin Marent, Flis Henwood, Mary Darking
In reaction to polarised views on the benefits or drawbacks of digital health, the notion of 'ambivalence' has recently been proposed as a means to grasp the nuances and complexities at play when digital technologies are embedded within practices of care. This article responds to this proposal by demonstrating how ambivalence can work as a reflexive approach to evaluate the potential implications of digital health. We first outline current theoretical advances in sociology and organisation science and define ambivalence as a relational and multidimensional concept that can increase reflexivity within innovation processes...
September 6, 2018: Social Science & Medicine
Jason Heidrich, Julian Nguyen, Cosmin Florescu, Adam Steward
This paper presents the application of carbon dioxide for CT imaging during an endovascular procedure to help characterise unexpected bilateral common iliac artery stenosis utilising an angio-CT system, confirming its application in interventional radiology while maintaining sterility. A 78 year old male was referred to the Radiology Interventional Suite with left lower limb rest pain. On imaging via digital subtraction angiography and CT utilising both iodinated contrast and carbon-dioxide (CO2 ), endovascular treatment of bilateral CIA stenosis was performed with good clinical result...
September 19, 2018: Journal of Medical Imaging and Radiation Oncology
Shelby C White, Jennifer Sedler, Trahern W Jones, Michael Seckeler
OBJECTIVE: Applications of three-dimensional (3D) printed models in medicine include preprocedure planning, patient education, and clinical training. Reproducing complex anatomy as a 3D printed model can be useful for understanding congenital heart defects (CHD). We hypothesized that using 3D printed models during didactic sessions with resident physicians will improve trainees' understanding of CHD. DESIGN AND INTERVENTION: We performed a prospective, randomized educational intervention for teaching pediatric and pediatric/emergency medicine residents about simple (ventricular septal defect [VSD]) and moderately complex (tetralogy of Fallot [ToF]) CHD...
September 19, 2018: Congenital Heart Disease
Angel On Ki Chu, Wing Chung Chang, Sherry Kit Wa Chan, Edwin Ho Ming Lee, Christy Lai Ming Hui, Eric Yu Hai Chen
BACKGROUND: Cognitive impairment is a core feature of schizophrenia and has been observed in both familial (FHR) and clinical high-risk (CHR) samples. Nonetheless, there is a paucity of research directly contrasting cognitive profiles in these two high-risk states and first-episode schizophrenia. This study aimed to compare cognitive functions in patients with first-episode schizophrenia-spectrum disorder (FES), their unaffected siblings (FHR), CHR individuals and healthy controls. METHOD: A standardized battery of cognitive assessments was administered to 69 FES patients, 71 help-seeking CHR individuals without family history of psychotic disorder, 50 FHR participants and 68 controls...
September 18, 2018: Psychological Medicine
Kenneth Carswell, Melissa Harper-Shehadeh, Sarah Watts, Edith Van't Hof, Jinane Abi Ramia, Eva Heim, Andreas Wenger, Mark van Ommeren
The World Health Organization is developing a range of interventions, including technology supported interventions, to help address the mental health treatment gap, particularly in low and middle-income countries. One of these, Step-by-Step, is a guided, technology supported, intervention for depression. It provides psychoeducation and training in behavioural activation through an illustrated narrative with additional therapeutic techniques such as stress management (slow breathing), identifying strengths, positive self-talk, increasing social support and relapse prevention...
2018: MHealth
Alireza Derakhshani, Amir Letafatkar, Zohre Khosrokiani
CONTEXT: Scapular downward rotation syndrome (SDRS) is an impaired alignment that causes shoulder and neck pain. Interventions may lead to the reduction of pain intensity and joint position error (JPE) and improve range of motion (ROM). OBJECTIVES: To evaluate the effects of 6-week Scapular Upward Rotation and Elevation Exercises (SUREE) with and without visual feedback on pain, ROM and JPE in people with SDRS. STUDY DESIGN: Randomized Control Trial...
September 17, 2018: Journal of Sport Rehabilitation
Nita Vangeepuram, Victoria Mayer, Kezhen Fei, Emily Hanlen-Rosado, Cesar Andrade, Shari Wright, Carol Horowitz
Background: Individuals from low-income and racial/ethnic minority backgrounds have traditionally had less access to mobile health (mHealth) technologies, but there is evidence that this gap has been rapidly narrowing. Given the increase in access to mobile technologies recently seen in vulnerable populations, mHealth has been championed as a strategy for improving population health and reducing health disparities. However, members of low-income and racial/ethnic minority populations have had a limited role in the development and implementation of mHealth interventions designed to impact them...
2018: MHealth
J C Durack, K T Brown, G Avignon, L A Brody, C T Sofocleous, J P Erinjeri, S B Solomon
AIM: To evaluate arterial cone-beam computed tomography (A-CBCT) automated analysis software for identification of vessels supplying tumours during transarterial hepatic embolisation (TAE). MATERIALS AND METHODS: This study was approved by the institutional review board, with waiver of consent. Consecutive TAE procedures using arterial mapping software (AMS), and performed between February 2014 and August 2014, were reviewed. Hepatic arteries were imaged using digital subtraction angiography (DSA) as well as A-CBCT processed with AMS...
September 13, 2018: Clinical Radiology
Gregg S Gonsalves, Forrest W Crawford
BACKGROUND: In November, 2014, a cluster of HIV infections was detected among people who inject drugs in Scott County, IN, USA, with 215 HIV infections eventually attributed to the outbreak. This study examines whether earlier implementation of a public health response could have reduced the scale of the outbreak. METHODS: In this modelling study, we derived weekly case data from the HIV outbreak in Scott County, IN, and on the uptake of HIV testing, treatment, and prevention services from publicly available reports from the US Centers for Disease Control and Prevention (CDC) and researchers from Indiana...
September 13, 2018: Lancet HIV
Ru Yu Tan, Tze Tec Chong, Fu Chieh Tsai, Suh Chien Pang, Kian Guan Lee, Apoorva Gogna, Alicia Huiying Ong, Chieh Suai Tan
BACKGROUND: Two-dimensional digital subtraction angiography (DSA) is the gold standard for angiographic evaluation of dysfunctional haemodialysis access. We aim to investigate the utility of parametric colour coded DSA in providing hemodynamic analysis during haemodialysis access interventions. METHODS: We retrospectively studied 20 patients who underwent access intervention and applied parametric colour-coding on selected DSA acquisitions before and after percutaneous transluminal angioplasty (PTA)...
September 15, 2018: BMC Medical Imaging
Jessica M Mayor, Donald R Lazarus, Roberto F Casal, Shuab Omer, Ourania Preventza, Katherine Simpson, Ernesto Jimenez, Lorraine D Cornwell
BACKGROUND: Air leaks can impede recovery from lung resection. To help prevent and manage air leaks, we developed a comprehensive program that includes using precompression of lung staple lines, sealant, fissure-less video-assisted thoracoscopic (VATS) lobectomy, a digital-drainage system, and endobronchial valve placement for prolonged air leak. We assessed the effect of this program on prolonged air leaks, hospital length of stay (LOS), and chest tube days in our high-risk veteran population...
September 12, 2018: Annals of Thoracic Surgery
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