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Health Technologies

Renee L Kokts-Porietis, Chelsea R Stone, Christine M Friedenreich, Alyssa Froese, Meghan McDonough, Jessica McNeil
PURPOSE: To gain breast cancer survivors' perspectives on participation in a home-based physical activity intervention and the factors that contributed to their acceptance and adherence to physical activity. METHODS: Semi-structured interviews were conducted with six women who had participated in a 12-week, home-based physical activity intervention using Polar A360® activity trackers. Additionally, 22 participants from the physical activity interventions provided scaled responses to barriers of physical activity on weeks 3, 6, 9, and 12...
December 15, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Ilhwan Park, Carlito Baltazar Tabelin, Sanghee Jeon, Xinlong Li, Kensuke Seno, Mayumi Ito, Naoki Hiroyoshi
Acid mine/rock drainage (AMD/ARD), effluents with low pH and high concentrations of hazardous and toxic elements generated when sulfide-rich wastes are exposed to the environment, is considered as a serious environmental problem encountered by the mining and mineral processing industries around the world. Remediation options like neutralization, adsorption, ion exchange, membrane technology, biological mediation, and electrochemical approach have been developed to reduce the negative environmental impacts of AMD on ecological systems and human health...
November 28, 2018: Chemosphere
Giuseppe Simone, Leonardo Misuraca, Umberto Anceschi, Francesco Minisola, Mariaconsiglia Ferriero, Salvatore Guaglianone, Gabriele Tuderti, Michele Gallucci
BACKGROUND: With the increasing adoption of novel technologies and anatomical techniques, surgical management of benign prostatic hyperplasia (BPH) provides significant benefits in terms of obstruction relief, early urethral catheter removal, and faster return to daily activities. However, the main pitfall of BPH surgery in sexually active men remains ejaculatory dysfunction (EjD), which permanently affects quality of life. OBJECTIVE: To detail a novel technique for marking the intraprostatic urethra through a retrograde injection of indocyanine green to enhance selective dissection of prostatic lobes during urethra-sparing robot-assisted simple prostatectomy (US-RASP) with the use of near-infrared fluorescence imaging (NIFI)...
December 12, 2018: European Urology
Marcello Ienca, Effy Vayena
Dual use research of concern (DURC) is defined by the World Health Organization as "life sciences research that is intended for benefit, but which might easily be misapplied to do harm." Ethical and policy discussions on DURC span the past three decades. Today, however, new and emerging technologies and associated sociocultural transformations within the scientific community are reshaping the current risk scenario. This paper identifies three major trends that are likely to characterise dual use dilemmas in the near future: the diversification of dual use domains, the digitalisation of potential threats and the proliferation of actors...
November 19, 2018: Swiss Medical Weekly
Yaling Yang, Lucy Abel, James Buchanan, Thomas Fanshawe, Bethany Shinkins
Diagnostic tests play an important role in the clinical decision-making process by providing information that enables patients to be identified and stratified to the most appropriate treatment and management strategies. Decision analytic modelling facilitates the synthesis of evidence from multiple sources to evaluate the cost effectiveness of diagnostic tests. This study critically reviews the methods used to model the cost effectiveness of diagnostic tests in UK National Institute for Health Research (NIHR) Health Technology Assessment (HTA) reports...
December 14, 2018: PharmacoEconomics Open
Nicolae Done, Dennis H Oh, Martin A Weinstock, John D Whited, George L Jackson, Heather A King, Sara B Peracca, A Rani Elwy, Julia C Prentice
INTRODUCTION: Teledermatology has emerged as an important strategy to enhance access to high-quality skin care. VA Telederm is a provider-facing, web-based mobile app designed to integrate into the existing teledermatology workflow in the US Veterans Health Administration (VHA). In this study, we will conduct a systematic evaluation of VA Telederm on access outcomes in VHA facilities using a pragmatic trial guided by clinical and operational leaders. METHODS AND ANALYSIS: The study is a prospective, stepped-wedge cluster randomised trial with cross-sectional exposure and outcome measurement via retrospective database analysis of administrative records...
December 14, 2018: BMJ Open
Stian Jessen, Jelena Mirkovic, Cornelia M Ruland
BACKGROUND: Gameful designs (gamification), using design pieces and concepts typically found in the world of games, is a promising approach to increase users' engagement with, and adherence to, electronic health and mobile health (mHealth) tools. Even though both identifying and addressing users' requirements and needs are important steps of designing information technology tools, little is known about the users' requirements and preferences for gameful designs in the context of self-management of chronic conditions...
December 14, 2018: JMIR MHealth and UHealth
Jia Zhang, Laura Tüshaus, Néstor Nuño Martínez, Monica Moreo, Hector Verastegui, Stella M Hartinger, Daniel Mäusezahl, Walter Karlen
BACKGROUND: Mobile health (mHealth) technologies have the potential to bring health care closer to people with otherwise limited access to adequate health care. However, physiological monitoring using mobile medical sensors is not yet widely used as adding biomedical sensors to mHealth projects inherently introduces new challenges. Thus far, no methodology exists to systematically evaluate these implementation challenges and identify the related risks. OBJECTIVE: This study aimed to facilitate the implementation of mHealth initiatives with mobile physiological sensing in constrained health systems by developing a methodology to systematically evaluate potential challenges and implementation risks...
December 14, 2018: JMIR MHealth and UHealth
Richard De Abreu Lourenco, Scott Williams
Health technology assessment (HTA) is a key tool used to allocate health care funding. A critical aspect of HTA is the performance of economic evaluations that compare the costs and outcomes for competing therapies; these typically rely on data from clinical trials. For early prostate cancer, this represents a challenge, as long-term survival and quality-of-life effects-key outcomes in such evaluations-may require a decade or more of follow-up. Thus, identification of early or intermediate measures of benefit is critical...
December 11, 2018: European Urology Focus
Apurv Soni, Sunil Karna, Nisha Fahey, Saket Sanghai, Harshil Patel, Shyamsundar Raithatha, Sunil Thanvi, Somashekhar Nimbalkar, Ben Freedman, Jeroan Allison, David D McManus
BACKGROUND: Early detection of Atrial Fibrillation (AF) is a public health priority across the globe because AF-related strokes are preventable. Despite an ongoing stroke epidemic in India, a public health strategy for AF screening and treatment is missing because the epidemiology of AF in India remains poorly defined. METHODS: This population-based study used mobile technology to derive age and sex-stratified AF prevalence by screening 7 participants in each of six age and sex strata (age 40-55, 56-65, 65+, and male and female) from 50 villages (2100 participants)...
December 6, 2018: International Journal of Cardiology
Emmanuel Andrès, Samy Talha, Abrar-Ahmad Zulfiqar, Mohamed Hajjam, Sylvie Ervé, Jawad Hajjam, Bernard Gény, Amir Hajjam El Hassani
BACKGROUND: This is a narrative review of both the literature and Internet pertaining to telemedicine projects within the field of heart failure, with special attention placed on remote monitoring of second-generation projects and trials, particularly in France. RESULTS: Since the beginning of the 2000's, several telemedicine projects and trials focused on chronic heart failure have been developed. The first telemedicine projects (e.g., TEN-HMS, BEAT-HF, Tele-HF, and TIM-HF) primarily investigated telemonitoring or for the older ones, telephone follow-up...
December 13, 2018: Journal of Clinical Medicine
Daniel E Goszczynski, Hao Cheng, Sebastian Demyda-Peyrás, Juan F Medrano, Jun Wu, Pablo J Ross
Embryonic stem cells (ESCs) are derived from the inner cell mass of preimplantation blastocysts. For decades, attempts to efficiently derive ESCs in animal livestock species have been unsuccessful, but this goal has recently been achieved in cattle. Together with the recent reconstitution of the germ cell differentiation processes from ESCs in mice, these achievements open new avenues for the development of promising technologies oriented toward improving health, animal production and the environment. In this article, we present a strategy that will notably accelerate genetic improvement in livestock populations by reducing the generational interval, namely in vitro breeding (IVB)...
December 14, 2018: Biology of Reproduction
Josef Decosas, Lawrence Mbuagbaw
Background: The IDRC 'Strengthening Equity through Applied Research Capacity building in eHealth' (SEARCH) funded seven research projects in Bangladesh, Burkina Faso, Ethiopia, Kenya, Lebanon, Peru and Vietnam that sought to answer questions or test solutions related to the use of Internet or mobile phone technology in strengthening health systems. The evaluation accompanied these projects over two years to answer, among others, the question how cross-grant learning interactions influenced project outcomes...
December 1, 2018: Journal of Public Health
Rosalind Steege, Linda Waldman, Daniel G Datiko, Aschenaki Z Kea, Miriam Taegtmeyer, Sally Theobald
Background: There is considerable optimism in mHealth's potential to overcome health system deficiencies, yet gender inequalities can weaken attempts to scale-up mHealth initiatives. We report on the gendered experiences of an mHealth intervention, in Southern Ethiopia, realised by the all-female cadre of Health Extension Workers (HEWs). Methodology: Following the introduction of the mHealth intervention, in-depth interviews (n = 19) and focus group discussions (n = 8) with HEWs, supervisors and community leaders were undertaken to understand whether technology acted as an empowering tool for HEWs...
December 1, 2018: Journal of Public Health
M Yé, M Kagoné, A Sié, C Bagagnan, H Sanou, O Millogo, V Duclos, I Tinto, Gilles Bibeau
Background: In Burkina Faso, access to health services for women, children and people living with HIV/AIDS (PLWHAs) remains limited. Mobile telephony offers an alternative solution for reaching these individuals. The objective of the study was to improve equity of access to health care and information among women and PLWHAs by reinforcing community participation. Methods: Using a quasi-experimental approach, a mobile telephone system was set up at five health centres to provide an automated reminder service for health care consultation appointments...
December 1, 2018: Journal of Public Health
Jennifer L Glick, Tricia Christensen, Ju Nyeong Park, Michelle McKenzie, Traci C Green, Susan G Sherman
BACKGROUND: The opioid epidemic is one of the greatest public health crises of our times, driven increasingly by synthetic opioids such as fentanyl in the heroin supply. The implementation of drug checking in community settings has the potential to reduce the burden of fatal overdose, provide harm reduction education around safer drug consumption, and increase health access among people who use drugs (PWUD). To inform program development, we explored stakeholder opinions on drug checking technologies and implementation considerations...
November 13, 2018: Drug and Alcohol Dependence
Phil Woods, Don Leidl, Janet Luimes, Lorna Butler
INTRODUCTION: There is overwhelming evidence to support the delivery of high-quality health service at a lower cost with the use of advanced technologies. Implementing remote presence technology to expand clinical care has been fraught with barriers that limit interprofessional collaboration and optimal client outcomes. In Canada, government ministries responsible for correctional services, policing, and health are well positioned to link federal, provincial, and regional services to enhance service delivery at the point of care for individuals detained within the justice system...
December 13, 2018: Journal of Forensic Nursing
Kevin C Maki, Mary R Dicklin
PURPOSE OF REVIEW: To describe recent strategies that have been developed to enhance absorption of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) from dietary supplements. RECENT FINDINGS: The long-chain omega-3 fatty acids EPA and DHA have important physiologic functions, and numerous potential health benefits have been suggested by results from observational studies and randomized, controlled trials. EPA and DHA intakes in the average American diet are substantially below recommended levels...
December 12, 2018: Current Opinion in Clinical Nutrition and Metabolic Care
Luz Myriam Reynales-Shigematsu, Inti Barrientos-Gutiérrez, Luis Zavala-Arciniega, Edna Arillo-Santillán
The new tobacco products that include electronic cigarettes (called "E Cig", "e-hookahs", "mods", "vape-pens"), electronic nicotine delivery systems (SEAN, Spanish acronym), similar systems without nicotine (SSSN, Spanish acronym) and alternative nicotine consumption systems (SACN, Spanish acronym), are positioned in the global market with a discourse of harm reduction and risk minimization. This manuscript summarizes the scientific evidence and presents a regulatory proposal for this technological innovation, oriented to guide the decision making of legislators, government institutions and organized civil society...
September 2018: Salud Pública de México
Megan McDowell, Mary Ashley Cain, Jessica Brumley
Excessive gestational weight gain (GWG) is associated with an increasing incidence of maternal and neonatal complications, including hypertensive disorders of pregnancy, fetal macrosomia, and increased cesarean birth rates. In the United States, it is recommended that health care providers use an individualized approach to counsel a woman about pregnancy weight gain goals that is based on the woman's initial body mass index (BMI) and to track GWG throughout the pregnancy by evaluating maternal weight at each visit...
December 12, 2018: Journal of Midwifery & Women's Health
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