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Remote patient monitoring

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https://www.readbyqxmd.com/read/27922466/smartphone-based-electrocardiographic-and-cardiac-implantable-electronic-device-monitoring
#1
Suneet Mittal
The field of arrhythmia monitoring is changing rapidly. The rapid advent of technology in combination with marked improvements in cellular communication and an increased desire by patients to be actively engaged in their care has ushered in a new era of clinical care. Today, physicians need to think about their patients outside the traditional in-office setting. Two technologies that embody this changing landscape are smartphone-based electrocardiographic (ECG) monitors and remote monitoring of cardiac implantable electronic devices (CIEDs)...
January 2017: Cardiology in Review
https://www.readbyqxmd.com/read/27910517/flexible-architecture-of-data-acquisition-firmware-based-on-multi-behaviors-finite-state-machine
#2
Pasquale Arpaia, Pasquale Cimmino
A flexible firmware architecture for different kinds of data acquisition systems, ranging from high-precision bench instruments to low-cost wireless transducers networks, is presented. The key component is a multi-behaviors finite state machine, easily configurable to both low- and high-performance requirements, to diverse operating systems, as well as to on-line and batch measurement algorithms. The proposed solution was validated experimentally on three case studies with data acquisition architectures: (i) concentrated, in a high-precision instrument for magnetic measurements at CERN, (ii) decentralized, for telemedicine remote monitoring of patients at home, and (iii) distributed, for remote monitoring of building's energy loss...
November 2016: Review of Scientific Instruments
https://www.readbyqxmd.com/read/27906359/monitoring-blood-vital-bio-signs-using-secondary-speckle-patterns
#3
Talia Sirkis, Yevgeny Beiderman, Sergey Agdarov, Yafim Beiderman, Zeev Zalevsky
Continuous noninvasive measurement of vital bio-signs, such as cardiopulmonary parameters, is an important tool in the evaluation process of the patient's physiological condition and in the health monitoring of the patient. On the demand of new enabling technologies, some works have been done in continuous monitoring of blood pressure and pulse wave velocity. In this paper, we introduce further application of a novel technique for remote noncontact blood pulse wave velocity and pressure measurement based on tracking the temporal changes of reflected secondary speckle patterns produced in human skin when illuminated by a laser beam...
November 28, 2016: Optics Express
https://www.readbyqxmd.com/read/27906358/monitoring-blood-vital-bio-signs-using-secondary-speckle-patterns
#4
Talia Sirkis, Yevgeny Beiderman, Sergey Agdarov, Yafim Beiderman, Zeev Zalevsky
Continuous noninvasive measurement of vital bio-signs, such as cardiopulmonary parameters, is an important tool in the evaluation process of the patient's physiological condition and in the health monitoring of the patient. On the demand of new enabling technologies, some works have been done in continuous monitoring of blood pressure and pulse wave velocity. In this paper, we introduce further application of a novel technique for remote noncontact blood pulse wave velocity and pressure measurement based on tracking the temporal changes of reflected secondary speckle patterns produced in human skin when illuminated by a laser beam...
November 28, 2016: Optics Express
https://www.readbyqxmd.com/read/27894482/-the-remote-monitoring-of-chronic-wounds-treated-in-the-home
#5
Nicolas Schinkel
The Franche-Comté Regional Health Authority, in collaboration with the chronic wound outpatient centre of Besançon university hospital and twelve volunteer sites, has developed a remote patient monitoring programme for monitoring chronic wounds in the home. It has been used by private practice nurses since 2009.
November 2016: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/27894480/-cardiauvergne-is-a-remote-monitoring-and-care-coordination-service-for-patients-with-severe-heart-failure
#6
Marie-Claire Boiteux, Philippe Rey, Françoise Cadiou, Caroline Chauvet
Since 2011, thanks to the cooperation of frontline healthcare professionals, it has provided care to more than 1 200 patients across the Auvergne health region. The organisation, blending telemedicine and human contact, has made this initiative a successful example of how the boundaries between community and hospital healthcare can be removed.
November 2016: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/27894478/-the-use-of-telemedicine-in-dialysis-and-new-professional-practices
#7
Jean-Pierre Grangier
Since 2006, a remote patient monitoring scheme using digital pens has enabled patients with chronic kidney disease to be monitored remotely in their own home. The implementation of this project was accompanied by a technical and economic study. Today, this scheme has evolved to integrate therapeutic patient education programmes and their evaluation.
November 2016: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/27889194/usefulness-of-thromboelastography-in-the-detection-and-management-of-tissue-plasminogen-activator-associated-hyperfibrinolysis
#8
Francesca Rosafio, Laura Vandelli, Guido Bigliardi, Francesco Cavallieri, Maria Luisa Dell'Acqua, Livio Picchetto, Andrea Zini
Rotation thromboelastometry is a viscoelastometric method that provides a rapid assessment of a patient's hemostatic processes in emergency settings, allowing prompt identification of specific coagulation abnormalities. Its results thus might guide targeted replacement therapy in hemorrhagic conditions, in case of platelet or coagulation factor deficiency, or hyperfibrinolysis, which is difficult to identify otherwise. Although currently used in emergency and traumatic surgery, there are limited data about thromboelastometry in ischemic stroke, particularly in monitoring the coagulative response to recombinant tissue plasminogen activator after intravenous thrombolysis (IVT)...
November 23, 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/27887597/technology-enhanced-multi-domain-at-home-continuum-of-care-program-with-respect-to-usual-care-for-people-with-cognitive-impairment-the-ability-telerehabilitation-study-protocol-for-a-randomized-controlled-trial
#9
O Realdon, F Rossetto, M Nalin, I Baroni, M Cabinio, R Fioravanti, F L Saibene, M Alberoni, F Mantovani, M Romano, R Nemni, F Baglio
BACKGROUND: According to the World Alzheimer Report (Prince, The Global Impact of Dementia: an Analysis of Prevalence, Incidence, Cost and Trends, 2015), 46.8 million people worldwide are nowadays living with dementia. And this number is estimated to approximate 131.5 million by 2050, with an increasing burden on society and families. The lack of medical treatments able to stop or slow down the course of the disease has moved the focus of interest toward the nonpharmacological approach and psychosocial therapies for people with/at risk of dementia, as in the Mild Cognitive Impairment (MCI) condition...
November 25, 2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27886929/cardiac-resynchronization-therapy-follow-up-role-of-remote-monitoring
#10
REVIEW
Cecilia Linde, Frieder Braunschweig
Cardiac resynchronization therapy (CRT) is increasingly used in heart failure treatment and management of these patients imposes significant challenges. Remote monitoring is becoming essential for CRT follow-up and allows close surveillance of device function and patient condition. It is helpful to reduce clinic visits, increase device longevity and provide early detection of device failure. Clinical effects include prevention of appropriate and inappropriate shocks and early detection of arrhythmias, such as atrial fibrillation...
January 2017: Heart Failure Clinics
https://www.readbyqxmd.com/read/27886122/remote-blood-glucose-monitoring-in-mhealth-scenarios-a-review
#11
Giordano Lanzola, Eleonora Losiouk, Simone Del Favero, Andrea Facchinetti, Alfonso Galderisi, Silvana Quaglini, Lalo Magni, Claudio Cobelli
Glucose concentration in the blood stream is a critical vital parameter and an effective monitoring of this quantity is crucial for diabetes treatment and intensive care management. Effective bio-sensing technology and advanced signal processing are therefore of unquestioned importance for blood glucose monitoring. Nevertheless, collecting measurements only represents part of the process as another critical task involves delivering the collected measures to the treating specialists and caregivers. These include the clinical staff, the patient's significant other, his/her family members, and many other actors helping with the patient treatment that may be located far away from him/her...
November 24, 2016: Sensors
https://www.readbyqxmd.com/read/27886024/predicting-adherence-to-use-of-remote-health-monitoring-systems-in-a-cohort-of-patients-with-chronic-heart-failure
#12
Lorraine S Evangelista, Hassan Ghasemzadeh, Jung-Ah Lee, Ramin Fallahzadeh, Majid Sarrafzadeh, Debra K Moser
BACKGROUND: It is unclear whether subgroups of patients may benefit from remote monitoring systems (RMS) and what user characteristics and contextual factors determine effective use of RMS in patients with heart failure (HF). OBJECTIVE: The study was conducted to determine whether certain user characteristics (i.e. personal and clinical variables) predict use of RMS using advanced machine learning software algorithms in patients with HF. METHODS: This pilot study was a single-arm experimental study with a pre- (baseline) and post- (3 months) design; data from the baseline measures were used for the current data analyses...
November 18, 2016: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/27885161/a-rehabilitation-internet-of-things-in-the-home-to-augment-motor-skills-and-exercise-training
#13
Bruce H Dobkin
Although motor learning theory has led to evidence-based practices, few trials have revealed the superiority of one theory-based therapy over another after stroke. Nor have improvements in skills been as clinically robust as one might hope. We review some possible explanations, then potential technology-enabled solutions. Over the Internet, the type, quantity, and quality of practice and exercise in the home and community can be monitored remotely and feedback provided to optimize training frequency, intensity, and progression at home...
November 23, 2016: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/27878990/hemodynamic-guided-heart-failure-management-using-a-wireless-implantable-sensor-infrastructure-methods-and-results-in-a-community-heart-failure-disease-management-program
#14
Rita Jermyn, Amit Alam, Jessica Kvasic, Omar Saeed, Ulrich Jorde
BACKGROUND: The real-world impact of remote pulmonary artery pressure (PAP) monitoring on New York Heart Association (NYHA) class improvement and heart failure (HF) hospitalization rate is presented here from a single center. HYPOTHESIS: METHODS: Seventy-seven previously hospitalized outpatients with NYHA class III HF were offered PAP monitoring via device implantation in a multidisciplinary HF-management program. Prospective effectiveness analyses compared outcomes in 34 hemodynamically monitored patients to a group of similar patients (n = 32) who did not undergo device implantation but received usual care...
November 23, 2016: Clinical Cardiology
https://www.readbyqxmd.com/read/27875114/technological-innovation-comes-to-palliative-care-with-a-shortage-of-palliative-specialists-telemedicine-and-remote-monitoring-offer-relief
#15
Mary Bates
At first, palliative care and technology might seem like strange bedfellows. At its core, palliative care is a very human side of medicine, relying heavily on talking with and listening to people to understand their experiences and goals. Technology, on the other hand, can often feel impersonal, cold, and one-size-fitsall. Despite this apparent disconnect, researchers and clinicians are finding new ways to harness technology to facilitate communication between patients and caregivers.
November 2016: IEEE Pulse
https://www.readbyqxmd.com/read/27875112/tying-tech-to-care-connected-health-is-better-for-both-providers-and-patients
#16
Leslie Mertz
People can do an incredible range of things remotely today. From a chair at the office or under an umbrella at the beach, they can adjust lights and appliance settings at home, monitor visitors on their doorstep, and check in on their teenagers? whereabouts. When it comes to health care, however, there?s still a long way to go before patients can get even simple care advice without having to make an appointment and trudge into the clinic or doctor's office.
November 2016: IEEE Pulse
https://www.readbyqxmd.com/read/27864167/testing-the-feasibility-of-remote-patient-monitoring-in-prenatal-care-using-a-mobile-app-and-connected-devices-a-prospective-observational-trial
#17
Kathryn I Marko, Jill M Krapf, Andrew C Meltzer, Julia Oh, Nihar Ganju, Anjali G Martinez, Sheetal G Sheth, Nancy D Gaba
BACKGROUND: Excessive weight gain and elevated blood pressure are significant risk factors for adverse pregnancy outcomes such as gestational diabetes, premature birth, and preeclampsia. More effective strategies to facilitate adherence to gestational weight gain goals and monitor blood pressure may have a positive health benefit for pregnant women and their babies. The impact of utilizing a remote patient monitoring system to monitor blood pressure and weight gain as a component of prenatal care has not been previously assessed...
November 18, 2016: JMIR Research Protocols
https://www.readbyqxmd.com/read/27861421/current-and-emerging-uses-of-insertable-cardiac-monitors-evaluation-of-syncope-and-monitoring-for-atrial-fibrillation
#18
Todd T Tomson, Rod Passman
Insertable cardiac monitors (ICMs) have provided clinicians with a superb tool for assessing infrequent or potentially asymptomatic arrhythmias. ICMs have shownd their usefulness in the evaluation of unexplained syncope, providing high diagnostic yields in a cost effective manner. While unexplained syncope continues to be the most common reason for their use, ICMs are increasingly being used for the monitoring of atrial fibrillation (AF). Recent trials have demonstrated that a substantial proportion of patients with cryptogenic stroke have AF detected only by the prolonged monitoring provided by ICMs...
November 17, 2016: Cardiology in Review
https://www.readbyqxmd.com/read/27855681/using-telehealth-to-support-end-of-life-care-in-the-community-a-feasibility-study
#19
Jennifer J Tieman, Kate Swetenham, Deidre D Morgan, Timothy H To, David C Currow
BACKGROUND: Telehealth is being used increasingly in providing care to patients in the community setting. Telehealth enhanced service delivery could offer new ways of managing load and care prioritisation for palliative care patients living in the community. The study assesses the feasibility of a telehealth-based model of service provision for community based palliative care patients, carers and clinicians. METHODS: This study was a prospective cohort study of a telehealth-based intervention for community based patients of a specialist palliative care service living in Southern Adelaide, South Australia...
November 17, 2016: BMC Palliative Care
https://www.readbyqxmd.com/read/27854492/research-use-of-monitor-watchers-in-hospitals-characteristics-training-and-practices
#20
Marjorie Funk, Halley Ruppel, Nancy Blake, JoAnne Phillips
Monitor watchers, or personnel whose job it is to watch the central cardiac monitor and alert clinicians of patient events, are used in many hospitals. Monitor watchers may be used to improve timely response to alarms and combat the effects of alarm fatigue. However, little research has been done on the use of monitor watchers, and their practices have not been well described. Therefore, the purpose of our study was to examine the use of monitor watchers and their characteristics, training, and practices. Participants were recruited to complete an online survey on monitor watcher practice via two professional nursing organizations...
November 2016: Biomedical Instrumentation & Technology
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