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José Bravo, Ramón Hervás, Jesús Fontecha, Iván González
m-Health is an emerging area that is transforming how people take part in the control of their wellness condition. This vision is changing traditional health processes by discharging hospitals from the care of people. Important advantages of continuous monitoring can be reached but, in order to transform this vision into a reality, some factors need to be addressed. m-Health applications should be shared by patients and hospital staff to perform proper supervised health monitoring. Furthermore, the uses of smartphones for health purposes should be transformed to achieve the objectives of this vision...
May 15, 2018: Sensors
Andrea C Gielen, David M Bishai, Elise Omaki, Wendy C Shields, Eileen M McDonald, Nicholas C Rizzutti, James Case, Molly W Stevens, Mary E Aitken
INTRODUCTION: The growing interest in incorporating prevention into emergency health care make it timely to examine the use of computer technology to efficiently deliver effective education in this setting. STUDY DESIGN: This RCT compared results from an intervention group (n=367) that received child passenger safety information, to an attention-matched control (n=375). A baseline survey and two follow-up surveys at 3 and 6 months were conducted. SETTING/PARTICIPANTS: Data were collected from June 2014 to September 2016 from a sample of parents with children aged 4-7 years recruited from a pediatric emergency department in an East Coast urban area and one in a Midwest semi-rural area...
April 9, 2018: American Journal of Preventive Medicine
Z X Sun, J F Shi, L Lan, A Y Mao, H Y Huang, H K Lei, W Q Qiu, P Dong, J Zhu, D B Wang, G X Liu, Y N Bai, X J Sun, X Z Liao, J S Ren, L W Guo, Q Zhou, L Yang, B B Song, L B Du, L Zhu, J Y Gong, Y Q Liu, Y Ren, L Mai, M F Qin, Y Z Zhang, J Y Zhou, X H Sun, S L Wu, X Qi, P A Lou, B Cai, K Zhang, J He, M Dai
Objective: To understand the constituent and workload of service providers engaged in cancer screening in China and provide evidence for the assessment of the sustainability of national cancer screening project. Methods: Using either questionnaire or online approach, the survey was conducted in 16 provinces, where Cancer Screening Program in Urban China (CanSPUC) was conducted, from 2014 to 2015. The medical institutes surveyed included hospitals [71.1% were class Ⅲ(A) hospitals], centers for disease control and prevention (CDCs) and community centers where cancer screening was undertaken during 2013-2015...
March 10, 2018: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
Anisleidy Carbo, Manish Gupta, Leonardo Tamariz, Ana Palacio, Silvina Levis, Zsuzsanna Nemeth, Stuti Dang
BACKGROUND: Randomized clinical trials (RCTs) conducted among heart failure (HF) patients have reported that mobile technologies can improve HF-related outcomes. Our aim was to conduct a meta-analysis to evaluate m-Health's impact on healthcare services utilization, mortality, and cost. METHODS: We searched MEDLINE, Cochrane, CINAHL, and EMBASE for studies published between 1966 and May-2017. We included studies that compared the use of m-Health in HF patients to usual care...
April 2, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
A I Pivkina, V G Gusarov, S I Blot, I V Zhivotneva, N V Pasko, M N Zamyatin
OBJECTIVES: We assessed the effect of a skin-protective terpolymer barrier film around the catheter insertion site on frequency of dressing disruptions and skin integrity issues (hyperaemia, skin irritation, residues of adhesives and moisture under the dressing). Secondary outcomes included colonisation of the central venous catheter (CVC) and rates of central line-associated bloodstream infection. RESEARCH METHODOLOGY: A monocentric, open-label, randomised controlled trial was performed comparing a control group receiving standard transparent catheter dressings without the skin-protecting lotion and an intervention group receiving a transparent chlorhexidine-impregnated dressing with use of the skin-protective acrylic terpolymer barrier film (3M™ Cavilon™ No - Sting Barrier Film, 3 M Health Care, St...
March 22, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
Fred S Sarfo, Nathaniel Adusei, Michael Ampofo, Frank K Kpeme, Bruce Ovbiagele
BACKGROUND: Tele-rehabilitation after stroke holds promise for under-resourced settings, especially sub-Saharan Africa (SSA), with its immense stroke burden and severely limited physical therapy services. OBJECTIVE: To preliminarily assess the feasibility and outcomes of mobile technology-assisted physical therapy exercises for stroke survivors in Ghana. METHODS: We conducted a prospective, single arm, pre-post study involving 20 stroke survivors recruited from a tertiary medical center, who received a Smartphone with the 9zest Stroke App® to deliver individualized, goal-targeted 5-days-a-week exercise program that was remotely supervised by a tele-therapist for 12 weeks...
April 15, 2018: Journal of the Neurological Sciences
Robert S H Istepanian, Turki M Al-Anzi
No abstract text is available yet for this article.
2018: MHealth
Florian Ferreri, Alexis Bourla, Stephane Mouchabac, Laurent Karila
Background: New technologies can profoundly change the way we understand psychiatric pathologies and addictive disorders. New concepts are emerging with the development of more accurate means of collecting live data, computerized questionnaires, and the use of passive data. Digital phenotyping , a paradigmatic example, refers to the use of computerized measurement tools to capture the characteristics of different psychiatric disorders. Similarly, machine learning-a form of artificial intelligence-can improve the classification of patients based on patterns that clinicians have not always considered in the past...
2018: Frontiers in Psychiatry
S Saeedeh Sadegh, Parisa Khakshour Saadat, Mohammad Mehdi Sepehri, Vahid Assadi
The emergence of mobile technology has influenced many service industries including health care. Mobile health (m-Health) applications have been used widely, and many services have been developed that have changed delivery systems and have improved effectiveness of health care services. Stakeholders of m-Health services have various resources and rights that lends to a complexity in service delivery. In addition, abundance of different m-Health services makes it difficult to choose an appropriate service for these stakeholders that include customers, patients, users or even providers...
April 2018: International Journal of Medical Informatics
Natalie Heynsbergh, Leila Heckel, Mari Botti, Patricia M Livingston
BACKGROUND: Carers looking after someone with cancer often experience negative impacts on their own health. M-health interventions have been designed to provide information and support to patients and their carers. However, the effectiveness of technology-based interventions for carers is less well understood. The objectives were to assess the feasibility, useability and acceptability of technology-based interventions among carers of people living with cancer. METHODS: A systematic search of the CINAHL, MEDLINE and PSYCINFO databases was performed using terms related to web-based interventions and smartphone applications, carers and cancer...
March 2, 2018: BMC Cancer
A Y Mao, J F Shi, W Q Qiu, P Dong, Z X Sun, H Y Huang, X J Sun, G X Liu, D B Wang, Y N Bai, X Z Liao, J S Ren, L W Guo, L Lan, Q Zhou, J Y Zhou, L Yang, J L Wang, M F Qin, Y Z Zhang, B B Song, X J Xing, L Zhu, L Mai, L B Du, Y Q Liu, P A Lou, B Cai, X H Sun, S L Wu, X Qi, K Zhang, J He, M Dai
Objective: Based on the investment for potential suppliers of cancer screening services, we assessed the reasons that affecting their participation motivation related to the long-term sustainability of cancer screening in China. Methods: Hospitals that had never been involved in any national level cancer screening project were selected by using the convenient sampling method within the 16 project cities of Cancer Screening Program in Urban China (CanSPUC) with 1 or 2 hospitals for each city. All the managers from the institutional/department level and professional staff working and providing screening services in these hospitals, were interviewed by paper-based questionnaire...
February 10, 2018: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
J F Shi, A Y Mao, Z X Sun, H K Lei, W Q Qiu, H Y Huang, P Dong, J W Huang, J Zhu, J Li, G X Liu, D B Wang, Y N Bai, X J Sun, X Z Liao, J S Ren, L W Guo, L Lan, Q Zhou, L Yang, B B Song, L B Du, L Zhu, J L Wang, Y Q Liu, Y Ren, L Mai, M F Qin, Y Z Zhang, J Y Zhou, X H Sun, S L Wu, X Qi, P A Lou, B Cai, N Li, K Zhang, J He, M Dai
Objective: From the perspective of actual service suppliers regarding cancer screening, this study aimed to assess the long-term sustainability of cancer screening programs in China. Methods: Based on a Cancer Screening Program in Urban China (CanSPUC), our survey focused on all the hospitals, centers for disease control and prevention (CDC) and community service centers across 16 provinces in China which participated in the programs between 2013 and 2015. All the managers (institutional/department level) and professional staff involved in the program were interviewed using either paper-based questionnaire or online approach...
February 10, 2018: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
Ericles Andrei Bellei, Daiana Biduski, Nathália Pinto Cechetti, Ana Carolina Bertoletti De Marchi
BACKGROUND: The increasing number of diabetes mellitus (DM) m-health applications (apps) reveals a panorama of different approaches to the subject, demonstrating dynamism and heterogeneity. Available applications have various functions, capabilities, and data collection techniques. OBJECTIVE: We systematically reviewed the literature to identify and analyze studies regarding the diversity of applications aimed at DM monitoring and treatment. We aimed to investigate app functionalities, the basis for their design, and how they were tested...
February 22, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Jingfeng Yuan, Wen Yi, Mengyi Miao, Lei Zhang
The construction industry has been recognized, for many years, as among those having a high likelihood of accidents, injuries and occupational illnesses. Such risks of construction workers can lead to low productivity and social problems. As a result, construction workers' well-being should be highly addressed to improve construction workers' efficiency and productivity. Meanwhile, the social support from a social network and capital (SNC) of construction workers has been considered as an effective approach to promote construction workers' physical and mental health (P&M health), as well as their work efficiency and productivity...
February 15, 2018: International Journal of Environmental Research and Public Health
Vladimir Vukovic, Carlo Favaretti, Walter Ricciardi, Chiara de Waure
OBJECTIVES: Evaluation is crucial for integration of e-Health/m-Health into healthcare systems and health technology assessment (HTA) could offer sound methodological basis for these evaluations. Aim of this study was to look for HTA reports on e-Health/m-Health technologies and to analyze their transparency, consistency and thoroughness, with the goal to detect areas that need improvement. METHODS: PubMed, ISI-WOS, and University of York - Centre for Reviews and Dissemination-electronic databases were searched to identify reports on e-Health/m-Health technologies, published up until April 1, 2016...
January 2018: International Journal of Technology Assessment in Health Care
O Pfaar, M Alvaro, V Cardona, E Hamelmann, R Mösges, J Kleine-Tebbe
Allergen immunotherapy (AIT) is a safe, effective treatment for allergic rhinoconjunctivitis and allergic asthma. However, AIT's clinical effect is still contested-primarily due to heterogeneity in clinical trial designs, study populations, therapeutic formulations, and efficacy criteria. After discussing current concepts and unmet needs, an international panel of experts made several recommendations: (i) explore and validate definitions for (clinical) responders in AIT trials; (ii) use of well-documented, standardized provocation tests prior to inclusion of subjects with relevant diseases in AIT trials; (iii) monitoring neo-sensitizations and occurrence of new allergy in extended AIT trials, and exclusion of polyallergic participants; (iv) validation of allergen exposure chambers with regard to natural exposure; (v) in studies of seasonal allergies, focus on peak exposure but also consider organizing two parallel, geographically distinct but otherwise identical trials; (vi) discuss adaptive trial designs with the regulatory authorities; (vii) use e-health and m-health technologies to capture more information on individual exposure to allergens; (viii) initiate research on potential psychological, biochemical, immune, neural, and even genomic markers of the placebo response; (ix) identify trial designs and primary endpoints that will give children with allergies easier, faster access to AIT formulations; and (x) promote and apply standardized methods for reporting systemic and local adverse events...
February 15, 2018: Allergy
Beatrice Murawski, Ronald C Plotnikoff, Anna T Rayward, Corneel Vandelanotte, Wendy J Brown, Mitch J Duncan
INTRODUCTION: There is a need to reduce physical inactivity and poor sleep health in the adult population to decrease chronic disease rates and the associated burden. Given the high prevalence of these risk behaviours, effective interventions with potential for wide reach are warranted. METHODS AND ANALYSIS: The aim of this two-arm RCT will be to test the effect of a three month personalised mobile app intervention on two main outcomes: minutes of moderate-to-vigorous-intensity physical activity and overall sleep quality...
February 8, 2018: BMJ Open
Yoon-Min Cho, Seohyun Lee, Sheikh Mohammed Shariful Islam, Sun-Young Kim
BACKGROUND: Recently there has been dramatic increase in the use of mobile technologies for health (m-Health) in both high and low- and middle-income countries (LMICs). However, little is known whether m-Health interventions in LMICs are based on relevant theories critical for effective implementation of such interventions. This review aimed to systematically identify m-Health studies on health behavioral changes in LMICs and to examine how each study applied behavior change theories...
February 13, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Seohyun Lee, Charles E Begley, Robert Morgan, Wenyaw Chan, Sun-Young Kim
BACKGROUND: As an innovative solution to poor access to care in low- and middle-income countries (LMICs), m-health has gained wide attention in the past decade. INTRODUCTION: Despite enthusiasm from the global health community, LMICs have not demonstrated high uptake of m-health promoting policies or public investment. MATERIALS AND METHODS: To benchmark the current status, this study compared m-health policy readiness scores between sub-Saharan Africa and high-income Organization for Economic Cooperation and Development (OECD) countries using an independent two-sample t test...
February 12, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Alessandra Costanza, Julia Ambrosetti, Karine Wyss, Guido Bondolfi, François Sarasin, Riaz Khan
Suicidal behavior (SB) has a dramatic epidemiological and clinical relevance in Switzerland. Both official reports and literature highlight SB prevention as a priority and recommend adopting new approaches, inspired by psychological models and ensuing in pragmatic interventions. Moreover, Emergency Room's (ER) role as a critical link in SB prevention chain is encouraged. Based on « Interpersonal Theory of Suicide », « impossible situation », and connectedness constructs, such interventions could be realized at ER through m-Health applications, with the main aim of reinforcing the patient's feeling of connectedness to his context...
February 7, 2018: Revue Médicale Suisse
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