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https://www.readbyqxmd.com/read/28345384/parental-evaluation-of-a-telemonitoring-service-for-children-with-type-1-diabetes
#1
E Losiouk, G Lanzola, S Del Favero, F Boscari, M Messori, I Rabbone, R Bonfanti, A Sabbion, D Iafusco, R Schiaffini, R Visentin, S Galasso, F Di Palma, D Chernavvsky, L Magni, C Cobelli, D Bruttomesso, S Quaglini
Introduction In the past years, we developed a telemonitoring service for young patients affected by Type 1 Diabetes. That service provides data to the clinical staff and offers an important tool to the parents, that are able to oversee in real time their children. The aim of this work was to analyze the parents' perceived usefulness of the service. Methods The service was tested by the parents of 31 children enrolled in a seven-day clinical trial during a summer camp. To study the parents' perception we proposed and analyzed two questionnaires...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28339316/practical-insight-to-monitor-home-niv-in-copd-patients
#2
Jean-Michel Arnal, Joëlle Texereau, Aude Garnero
Home noninvasive ventilation (NIV) is used in COPD patients with concomitant chronic hypercapnic respiratory failure in order to correct nocturnal hypoventilation and improve sleep quality, quality of life, and survival. Monitoring of home NIV is needed to assess the effectiveness of ventilation and adherence to therapy, resolve potential adverse effects, reinforce patient knowledge, provide maintenance of the equipment, and readjust the ventilator settings according to the changing condition of the patient...
March 24, 2017: COPD
https://www.readbyqxmd.com/read/28332506/effectiveness-of-home-blood-pressure-telemonitoring-a-systematic-review-and-meta-analysis-of-randomised-controlled-studies
#3
REVIEW
Y Duan, Z Xie, F Dong, Z Wu, Z Lin, N Sun, J Xu
To summarise evidence about the effectiveness of home blood pressure telemonitoring (HBPT) and identify the key components of intervention. We comprehensively searched PubMed, EMBASE and the Cochrane Library for relevant studies. The authors were contacted for additional information. Two authors independently extracted the data and assessed the risk of bias. 46 randomised controlled trials including a total of 13 875 cases were identified. Compared with usual care, HBPT improved office systolic blood pressure (BP) and diastolic BP by 3...
March 23, 2017: Journal of Human Hypertension
https://www.readbyqxmd.com/read/28326901/continuity-of-care-to-prevent-readmissions-for-patients-with-chronic-obstructive-pulmonary-disease-a-systematic-review-and-meta-analysis
#4
Fen Yang, Zhen-Fang Xiong, Chongming Yang, Lin Li, Guiyuan Qiao, Yuncui Wang, Taoyun Zheng, Huijuan He, Hui Hu
Readmissions of patients with chronic obstructive pulmonary disease (COPD) to hospitals cast a heavy burden to health care systems. This meta-analysis was aimed to assess the efficacy of continuity of care as interventions, which reduced readmission and mortality rates of such patients. PubMed, Cochrane Library and Embase were searched for articles published before July 2015. A total of 31 reports with randomized controlled trials (RCTs) were finally included in this meta-analysis. The results showed that health education reduced all-cause readmission at 3 months...
April 2017: COPD
https://www.readbyqxmd.com/read/28326285/impact-of-telemonitoring-approaches-on-integrated-hiv-and-tb-diagnosis-and-treatment-interventions-in-sub-saharan-africa-a-scoping-review
#5
REVIEW
Clarence S Yah, Ernest Tambo, Christopher Khayeka-Wandabwa, Jeanne Y Ngogang
Background: This paper explores telemonitoring/mhealth approaches as a promising real time and contextual strategy in overhauling HIV and TB interventions quality access and uptake, retention,adherence and coverage impact in endemic and prone-epidemic prevention and control in sub-Sahara Africa. Methods: The scoping review method was applied in acknowledged journals indexing platforms including Medline, Embase, Global Health, PubMed, MeSH PsycInfo, Scopus and Google Scholar to identify relevant articles pertaining to telemonitoring as a proxy surrogate method in reinforcing sustainability of HIV/TB prevention/treatment interventions in sub-Saharan Africa...
2017: Health Promotion Perspectives
https://www.readbyqxmd.com/read/28324985/a-novel-thermal-tactile-stimulator-device-for-quantitative-sensory-testing
#6
Umit Kursun, Olcay Kursun, Oleg V Favorov
This paper outlines the design and preliminary experimental results of a novel thermal stimulator device designed to measure, from some perspectives, brain health. The device delivers some thermal stimuli and asks the subject about his perception about them, thus checking the correctness of the perception and even the existence of certain perceptual illusions that would normally be present in healthy cortex and nervous system. This noninvasive sensory technology is cheap and easy to use, it has the potential to be used in telemonitoring systems and in empowering the individual to track his/her progression over time on the provided neuropathy tests...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28302916/advances-in-heart-failure-a-review-of-biomarkers-emerging-pharmacological-therapies-durable-mechanical-support-and-telemonitoring
#7
REVIEW
Yasbanoo Moayedi, Heather J Ross
The purpose of this review is to provide an overview of diagnosis, prognosis and management of heart failure (HF) with reduced ejection fraction (HFrEF). Specifically, this review is divided into three sections. The first section will address biomarkers. The discovery of biomarkers has allowed further understanding of the pathophysiology of HF and provides insight into potential therapeutic targets. This review will focus on novel applications of natriuretic peptides (NPs) in clinical trials. Next, emerging biomarkers of HF, such as ST2, galectin-3 and copeptin, will be discussed...
April 1, 2017: Clinical Science (1979-)
https://www.readbyqxmd.com/read/28291458/wearable-pulse-oximetry-measurements-on-the-torso-arms-and-legs-a-proof-of-concept
#8
Marcus Kramer, Aaron Lobbestael, Emily Barten, John Eian, Gregory Rausch
For decades pulse oximeters designed for use on the head, hands, or feet have provided invaluable estimates of oxygen saturation to medical personal attending to combat casualties. However, traditional placement sites are not ideal for the relatively new paradigm of continuous battlefield telemonitoring. To assess the feasibility of oximetry on nontraditional body sites, 42 healthy volunteers were enrolled, consented, and underwent an industry standard induced-hypoxia study. During the study volunteers used prototype wearable oximeters, designed for the torso, arms, and legs...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/28279522/home-blood-pressure-telemonitoring-rationale-for-use-required-elements-and-barriers-to-implementation-in-canada
#9
REVIEW
Peter W Wood, Pierre Boulanger, Raj S Padwal
Contemporary hypertension guidelines strongly endorse the use of home blood pressure (BP) monitoring for hypertension diagnosis and management. However, barriers exist that prevent optimal use of home BP measurements. Patients might not follow the recommended home BP measurement protocol, might not take the required number of readings, and/or might report only selected readings to their providers. Providers might not calculate the mean (used for clinical decision-making) and/or incorporate home BP measurements into the medical record...
January 3, 2017: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/28274907/mobile-device-based-electronic-data-capture-system-used-in-a-clinical-randomized-controlled-trial-advantages-and-challenges
#10
Jing Zhang, Lei Sun, Yu Liu, Hongyi Wang, Ningling Sun, Puhong Zhang
BACKGROUND: Electronic data capture (EDC) systems have been widely used in clinical research, but mobile device-based electronic data capture (mEDC) system has not been well evaluated. OBJECTIVE: The aim of our study was to evaluate the feasibility, advantages, and challenges of mEDC in data collection, project management, and telemonitoring in a randomized controlled trial (RCT). METHODS: We developed an mEDC to support an RCT called "Telmisartan and Hydrochlorothiazide Antihypertensive Treatment (THAT)" study, which was a multicenter, double-blinded, RCT, with the purpose of comparing the efficacy of telmisartan and hydrochlorothiazide (HCTZ) monotherapy in high-sodium-intake patients with mild to moderate hypertension during a 60 days follow-up...
March 8, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28270380/exacerbations-in-chronic-obstructive-pulmonary-disease-identification-and-prediction-using-a-digital-health-system
#11
Syed Ahmar Shah, Carmelo Velardo, Andrew Farmer, Lionel Tarassenko
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a progressive, chronic respiratory disease with a significant socioeconomic burden. Exacerbations, the sudden and sustained worsening of symptoms, can lead to hospitalization and reduce quality of life. Major limitations of previous telemonitoring interventions for COPD include low compliance, lack of consensus on what constitutes an exacerbation, limited numbers of patients, and short monitoring periods. We developed a telemonitoring system based on a digital health platform that was used to collect data from the 1-year EDGE (Self Management and Support Programme) COPD clinical trial aiming at daily monitoring in a heterogeneous group of patients with moderate to severe COPD...
March 7, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28269614/detection-of-different-types-of-noise-in-lung-sounds
#12
A Leal, R Couceiro, I Chouvarda, N Maglaveras, J Henriques, R Paiva, P Carvalho, C Teixeira
Lung sound signal processing has proven to be a great improvement to the traditional acoustic interpretation of lung sounds. However, that analysis can be seriously hindered by the presence of different types of noise originated in the acquisition environment or caused by physiological processes. Consequently, the diagnostic accuracy of pulmonary diseases can be severely affected, especially if the implementation of telemonitoring systems is considered. The present study is focused on the implementation of an algorithm able to identify noisy periods, either voluntarily (vocalizations, chest movement and background voices) or involuntarily produced during acquisitions of lung sounds...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28269328/efficient-compressive-sensing-of-ecg-segments-based-on-machine-learning-for-qrs-based-arrhythmia-detection
#13
Jeevan K Pant, Sridhar Krishnan
A novel method for efficient telemonitoring of arrhythmia based on using QRS complexes is proposed. Two features, namely, sum of absolute differences (SAD) and maximum of absolute differences (MAD) are efficiently computed for each ECG segment in the bio-sensor. The computed features can be transmitted from the bio-sensor using wireless channel, and they can be used in the receiver for determining the absence of QRS complex in the segment. By avoiding computationally expensive signal reconstruction for the ECG segments without QRS complex, it is shown, using simulation results, that computation time can be reduced by approximately 7...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28269253/e-health-prototype-system-for-cardiac-telemonitoring
#14
Laura Juliana Vargas Escobar, Sergio Alexander Salinas
This paper presents the approach of an e-health system for cardiac telemonitoring which uses the development board LinkIt ONE as a monitoring system. Such board was adapted to measure the cardiac pulse, analyze it and determine whether a person is having a cardiac arrhythmia or not. When an arrhythmia appears, the prototype activates an alarm in order to report the patient's condition and its location to a caregiver or a close healthcare center. The data of the cardiac pulse is originated in an e-health sensor platform connected to an Arduino...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28268314/a-telemonitoring-platform-for-the-investigation-of-blood-pressure-profiles-in-pacemaker-patients
#15
G Calcagnini, E Mattei, R Quaglione, E De Ruvo, G Biancalana, G Pavone, A Gargaro, L Calo, F Ammirati, F Censi
Rate responsive pacemakers (PM) use different strategies to adapt the patient paced rate, with the aim of having the best hemodynamic performance in response to internal or external conditions. Closed-loop stimulation (CLS) uses intracardiac impedance as a sensor principle. The evaluation of impact of different pacing modalities and technologies on the blood pressure (BP) profiles is mainly investigated in short-term laboratory settings, mainly due to the need of reliable daily-based BP values. The impact of CLS pacing on systemic blood pressure (BP) has been studied on short term basis, but data on long term effects are scarse...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28263938/analysis-of-machine-learning-techniques-for-heart-failure-readmissions
#16
Bobak J Mortazavi, Nicholas S Downing, Emily M Bucholz, Kumar Dharmarajan, Ajay Manhapra, Shu-Xia Li, Sahand N Negahban, Harlan M Krumholz
BACKGROUND: The current ability to predict readmissions in patients with heart failure is modest at best. It is unclear whether machine learning techniques that address higher dimensional, nonlinear relationships among variables would enhance prediction. We sought to compare the effectiveness of several machine learning algorithms for predicting readmissions. METHODS AND RESULTS: Using data from the Telemonitoring to Improve Heart Failure Outcomes trial, we compared the effectiveness of random forests, boosting, random forests combined hierarchically with support vector machines or logistic regression (LR), and Poisson regression against traditional LR to predict 30- and 180-day all-cause readmissions and readmissions because of heart failure...
November 2016: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/28249025/effectiveness-of-mhealth-interventions-for-patients-with-diabetes-an-overview-of-systematic-reviews
#17
Spyros Kitsiou, Guy Paré, Mirou Jaana, Ben Gerber
BACKGROUND: Diabetes is a common chronic disease that places an unprecedented strain on health care systems worldwide. Mobile health technologies such as smartphones, mobile applications, and wearable devices, known as mHealth, offer significant and innovative opportunities for improving patient to provider communication and self-management of diabetes. OBJECTIVE: The purpose of this overview is to critically appraise and consolidate evidence from multiple systematic reviews on the effectiveness of mHealth interventions for patients with diabetes to inform policy makers, practitioners, and researchers...
2017: PloS One
https://www.readbyqxmd.com/read/28227872/detection-of-different-types-of-noise-in-lung-sounds
#18
A Leal, R Couceiro, I Chouvarda, N Maglaveras, J Henriques, R Paiva, P Carvalho, C Teixeira, A Leal, R Couceiro, I Chouvarda, N Maglaveras, J Henriques, R Paiva, P Carvalho, C Teixeira, R Couceiro, P Carvalho, C Teixeira, A Leal, R Paiva, J Henriques, N Maglaveras, I Chouvarda
Lung sound signal processing has proven to be a great improvement to the traditional acoustic interpretation of lung sounds. However, that analysis can be seriously hindered by the presence of different types of noise originated in the acquisition environment or caused by physiological processes. Consequently, the diagnostic accuracy of pulmonary diseases can be severely affected, especially if the implementation of telemonitoring systems is considered. The present study is focused on the implementation of an algorithm able to identify noisy periods, either voluntarily (vocalizations, chest movement and background voices) or involuntarily produced during acquisitions of lung sounds...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227569/efficient-compressive-sensing-of-ecg-segments-based-on-machine-learning-for-qrs-based-arrhythmia-detection
#19
Jeevan K Pant, Sridhar Krishnan, Jeevan K Pant, Sridhar Krishnan, Jeevan K Pant, Sridhar Krishnan
A novel method for efficient telemonitoring of arrhythmia based on using QRS complexes is proposed. Two features, namely, sum of absolute differences (SAD) and maximum of absolute differences (MAD) are efficiently computed for each ECG segment in the bio-sensor. The computed features can be transmitted from the bio-sensor using wireless channel, and they can be used in the receiver for determining the absence of QRS complex in the segment. By avoiding computationally expensive signal reconstruction for the ECG segments without QRS complex, it is shown, using simulation results, that computation time can be reduced by approximately 7...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227487/e-health-prototype-system-for-cardiac-telemonitoring
#20
Laura Juliana Vargas Escobar, Sergio Alexander Salinas, Laura Juliana Vargas Escobar, Sergio Alexander Salinas, Sergio Alexander Salinas, Laura Juliana Vargas Escobar
This paper presents the approach of an e-health system for cardiac telemonitoring which uses the development board LinkIt ONE as a monitoring system. Such board was adapted to measure the cardiac pulse, analyze it and determine whether a person is having a cardiac arrhythmia or not. When an arrhythmia appears, the prototype activates an alarm in order to report the patient's condition and its location to a caregiver or a close healthcare center. The data of the cardiac pulse is originated in an e-health sensor platform connected to an Arduino...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
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