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Digital interventions

Vincenza Bonfiglio, Mario D Toro, Antonio Longo, Teresio Avitabile, Robert Rejdak, Katarzyna Nowomiejska, Tomasz Choragiewicz, Andrea Russo, Matteo Fallico, Agnieszka Kaminska, Elina Ortisi, Stefano Zenoni, Michele Reibaldi
Purpose: To evaluate the effects of a modification of the traditional 25-gauge pars plana vitrectomy technique in the treatment of uncomplicated macula-on rhegmatogenous retinal detachment (RRD) with intermediate retinal break(s) and marked vitreous traction in the phakic eye. Methods: Prospective, noncomparative, and interventional case series. All consecutive phakic eyes with primary uncomplicated macula-on RRD with intermediate retinal break(s) and marked vitreous traction, with at least 1 year of postoperative follow-up, were enrolled...
2018: Journal of Ophthalmology
Ian A Scott, Paul Scuffham, Deepali Gupta, Tanya M Harch, John Borchi, Brent Richards
Objective Smartphone health applications (apps) are being increasingly used to assist patients in chronic disease self-management. The effects of such apps on patient outcomes are uncertain, as are design features that maximise usability and efficacy, and the best methods for evaluating app quality and utility. Methods In assessing efficacy, PubMed, Cochrane Library and EMBASE were searched for systematic reviews (and single studies if no systematic review was available) published between January 2007 and January 2018 using search terms (and synonyms) of 'smartphone' and 'mobile applications', and terms for each of 11 chronic diseases: asthma, chronic obstructive lung disease (COPD), diabetes, chronic pain, serious mental health disorders, alcohol and substance addiction, heart failure, ischaemic heart disease, cancer, cognitive impairment, chronic kidney disease (CKD)...
November 13, 2018: Australian Health Review: a Publication of the Australian Hospital Association
B J F Dean, H Branford-White, H Giele, P Critchley, L Cogswell, N Athanasou, C L M Gibbons
AIMS: The aim of this study was to evaluate the surgical management and outcome of patients with an acral soft-tissue sarcoma of the hand or foot. PATIENTS AND METHODS: We identified 63 patients with an acral soft-tissue sarcoma who presented to our tertiary referral sarcoma service between 2000 and 2016. There were 35 men and 28 women with a mean age of 49 years (sd 21). Of the 63 sarcomas, 27 were in the hands and 36 in the feet. The commonest subtypes were epithelioid sarcoma in the hand (n = 8) and synovial sarcoma in the foot (n = 11)...
November 2018: Bone & Joint Journal
Johannes Thrul, Meredith C Meacham, Danielle E Ramo
INTRODUCTION: Biochemical verification of smoking abstinence remains an important validity check of cessation trial outcomes. Digital health trials rarely establish in-person contacts between participants and intervention providers, requiring novel strategies to biochemically verify outcomes. We describe remote verification of smoking abstinence via saliva cotinine and individual predictors of compliance in a digital intervention. METHODS: Data came from a feasibility trial and randomized controlled trial of a Facebook smoking cessation intervention for young adults...
May 2018: Tobacco Prevention & Cessation
Allison N Kurti, Janice Y Bunn, Tyler Nighbor, Alex H Cohen, Hypatia Bolívar, Katherine J Tang, Jesse Dallery, Stephen T Higgins
Women of reproductive age and particularly pregnant women underutilize evidence-based smoking cessation services such as counseling and quit lines. Mobile health (mHealth) may constitute an unexplored and innovative avenue for providing smoking cessation support to a population that is otherwise difficult to reach with evidence-based interventions. Female respondents aged 18-44 years (N = 10,023) were drawn from the first wave of the Population Assessment of Tobacco and Health (PATH) study (2013-2014)...
November 6, 2018: Preventive Medicine
Michael Raedel, Heinz-Werner Priess, Steffen Bohm, Barbara Noack, Yvonne Wagner, Michael H Walter
OBJECTIVES: The aim of this study was to evaluate tooth loss after periodontal treatment. METHODS: The data was collected from the digital database of a major German national health insurance company. Periodontal treatment was the intervention in the treatment group. Kaplan-Meier survival analyses on the patient level with the primary outcome extraction were carried out over four years. A control group without treatment was matched and analysed. Differences were tested with the Log-Rank-test...
November 6, 2018: Journal of Dentistry
Ponraj Chinnadurai, Jean Bismuth
Advanced imaging for intraoperative evaluation of venous pathologies has played an increasingly significant role in this era of evolving minimally invasive surgical and interventional therapies. The evolution of dedicated venous stents and other novel interventional devices has mandated the need for advanced imaging tools to optimize safe and accurate device deployment. Most venous interventions are typically performed using a combination of standard 2-dimensional (2D) fluoroscopy, digital-subtraction angiography, and intravascular ultrasound imaging techniques...
July 2018: Methodist DeBakey Cardiovascular Journal
John D Blakey, Bruce G Bender, Alexandra L Dima, John Weinman, Guilherme Safioti, Richard W Costello
Outcomes for patients with chronic respiratory diseases remain poor despite the development of novel therapies. In part, this reflects the fact that adherence to therapy is low, and clinicians lack accurate methods to assess this issue. Digital technologies hold promise to overcome these barriers to care. For example, algorithmic analysis of large amounts of information collected on health status and treatment use, along with other disease relevant information such as environmental data, can be used to help guide personalised interventions that may have a positive health impact, such as establishing habitual and correct inhaler use...
November 8, 2018: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
Rebecca Jamwal, Libby Callaway, Di Winkler, Louise Farnworth, Robyn Tate
BACKGROUND: Smart home technologies are emerging as a useful component of support delivery for people with brain impairment. To promote their successful uptake and sustained use, focus on technology support services, including training, is required. OBJECTIVE: The objective of this paper is to present a systematic smart home technology training approach for people with brain impairment. In addition, the paper outlines a multiple-baseline, single-case experimental design methodology to evaluate training effectiveness...
November 8, 2018: JMIR Research Protocols
Michelle M Chau, Marissa Burgermaster, Lena Mamykina
OBJECTIVE: Social media is a potentially engaging way to support adolescents and young adults in maintaining healthy diets and learning about nutrition. This review identifies interventions that use social media to promote nutrition, examines their content and features, and evaluates the evidence for the use of such platforms among these groups. MATERIAL AND METHODS: We conducted a systematic search of 5 databases (PubMed, CINAHL, EMBASE, PsycINFO, and ACM Digital Library) for studies that included: 1) adolescents and/or young adults (ages 10-19; ages 18-25); 2) a nutrition education or behavior change intervention component, or outcomes related to nutrition knowledge or dietary changes; and 3) a social media component that allowed users to communicate or share information with peers...
December 2018: International Journal of Medical Informatics
Donna M Kazemi, Brian Borsari, Maureen J Levine, Mohamed Shehab, Monica Nelson, Beau Dooley, Betria Stinson, Fang Fang, Shaoyu Li
Heavy alcohol use is a serious health issue in the United States with consequences such as illness, injury, and death. College students are among the most vulnerable to problems associated with risky drinking. This demographic is known as the Net Generation because members have grown up with digital technologies such as smartphones and apps. Thus, mobile health (mHealth) applications, successful in the delivery of health information and interventions to tech-savvy individuals, are a promising means of reaching them...
November 8, 2018: Psychological Services
Peter Payne, Steven Fiering, David Zava, Thomas J Gould, Anthony Brown, Paul Hage, Carole Gaudet, Mardi Crane-Godreau
Many FA who flew prior to the ban on smoking in commercial aircraft exhibit an unusual pattern of long-term pulmonary dysfunction. This randomized controlled study tested the hypothesis that digitally delivered meditative movement (MM) training improves chronic obstructive pulmonary disease (COPD)-related symptoms in flight attendants (FA) who were exposed to second-hand cigarette smoke (SHCS) while flying. Phase I of this two-phase clinical trial was a single-arm non-randomized pilot study that developed and tested methods for MM intervention; we now report on Phase II, a randomized controlled trial comparing MM to a control group of similar FA receiving health education (HE) videos...
2018: Frontiers in Public Health
Harriet Kretowicz, Vanora Hundley, Fotini Tsofliou
A considerable amount of research has focused on interventions in pregnancy to promote health in current and future generations. This has yielded inconsistent results and focus has turned towards improving health in the preconception period. Promotion of healthy dietary patterns similar to a Mediterranean diet in the preconception years has been suggested as a dietary strategy to prevent maternal obesity and optimize offspring health. However, it is uncertain whether adoption is acceptable in women of childbearing age...
November 6, 2018: Nutrients
Fabio Forghieri, Patrizia Comoli, Roberto Marasca, Leonardo Potenza, Mario Luppi
Acute myeloid leukemia (AML) with NPM1 gene mutations is currently recognized as a distinct entity, due to its unique biological and clinical features. We summarize here the results of published studies investigating the clinical application of minimal/measurable residual disease (MRD) in patients with NPM1 -mutated AML, receiving either intensive chemotherapy or hematopoietic stem cell transplantation. Several clinical trials have so far demonstrated a significant independent prognostic impact of molecular MRD monitoring in NPM1 -mutated AML and, accordingly, the Consensus Document from the European Leukemia Net MRD Working Party has recently recommended that NPM1 -mutated AML patients have MRD assessment at informative clinical timepoints during treatment and follow-up...
November 6, 2018: International Journal of Molecular Sciences
Juan M Machimbarrena, Esther Calvete, Liria Fernández-González, Aitor Álvarez-Bardón, Lourdes Álvarez-Fernández, Joaquín González-Cabrera
The advance of digital media has created risks that affect the bio-psycho-social well-being of adolescents. Some of these risks are cyberbullying, cyber dating abuse, sexting, online grooming and problematic Internet use. These risks have been studied individually or through associations of some of them but they have not been explored conjointly. The main objective is to determine the comorbidity between the described Internet risks and to identify the profiles of victimized adolescents. An analytical and cross-sectional study with 3212 participants (46...
November 5, 2018: International Journal of Environmental Research and Public Health
Philip Scott, Rachel Dunscombe, David Evans, Mome Mukherjee, Jeremy Wyatt
Background UK health research policy and plans for population health management are predicated upon transformative knowledge discovery from operational "Big Data". Learning health systems require not only data, but feedback loops of knowledge into changed practice. This depends on knowledge management and application, which in turn depend upon effective system design and implementation. Biomedical informatics is the interdisciplinary field at the intersection of health science, social science and information science and technology that spans this entire scope...
June 15, 2018: Journal of Innovation in Health Informatics
Steven Owens, Joseph I Sirven, Patricia O Shafer, Jesse Fishman, Imane Wild, Mark Findley, Russell Derry, Jenniafer Walters, Vicki Kopplin, Jody Kakacek
OBJECTIVE: The Connectors Project, a collaboration between the Epilepsy Foundation and UCB Pharma, was a multiyear project designed to improve epilepsy care in underserved communities. A core objective of the Connectors Project was to pilot new and innovative approaches to epilepsy awareness and education in rural and underserved areas, including standardized curricula for healthcare providers and patients. METHODS: A series of consensus conferences explored opportunities and barriers to epilepsy care throughout the United States including access to local Epilepsy Foundations, neurologists, and epilepsy centers...
October 31, 2018: Epilepsy & Behavior: E&B
Joanne Garside, John Stephenson, Helen Curtis, Mary Morrell, Christine Dearnley, Felicity Astin
OBJECTIVE: High levels of environmental noise in hospitals disturbs sleep. We aimed to identify, critically appraise and summarise primary research that reports studies that tested interventions to reduce night-time noise levels in ward-settings. DESIGN: Systematic review and meta-analysis in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. DATA SOURCES: Key health-related and specialist acoustic databases (CINAHL, EMBASE, MEDLINE, The Cochrane Library, PsycINFO, NHS Evidence, Knovel, Journal of the Audio Engineering Society, Journal of the Acoustical Society of America, IEEE Xplore Digital Library, Acta Acustica and Acoustics in Practice) were searched from their inception to April 2017, with no language restrictions...
December 2018: Applied Nursing Research: ANR
Anna Van Meter, Victoria E Cosgrove
Gliddon et al.1 adds to a compelling evidence base suggesting that digital interventions like MoodSwings 2.0 have the potential to contribute to long-lasting, clinically meaningful reductions in depression for adults with bipolar disorder (BD). Like MoodSwings, most digital interventions are essentially evidence-based psychosocial programs adapted for online delivery. Some include interaction with a clinician, whereas others are entirely self-guided. From a public health perspective, the allure of empirically-valid digital interventions for BD is considerable; a majority of psychosocial interventions with an evidence base in BD have not been disseminated widely and are principally available at research institutions where they were developed...
November 2, 2018: Bipolar Disorders
Amy Barnett, Michelle Winning, Stephen Canaris, Michael Cleary, Andrew Staib, Clair Sullivan
The Australian Commission for Safety and Quality in Health Care has created the National Safety and Quality Health Service standards that all hospitals must address in order to remain accredited. This case study details the first known digitisation of the 10 national quality and safety standards mandated in a quaternary integrated digital hospital. A team of clinical informaticians, information technology experts and clinicians was assembled. Data were chosen and the data were then extracted and validated and presented (often in near real time) in an easily consumable dashboard format with appropriate governance to allow clinicians and executives to monitor the quality and safety standards across the hospital...
November 2, 2018: Australian Health Review: a Publication of the Australian Hospital Association
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