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https://www.readbyqxmd.com/read/29779714/self-monitoring-induced-savings-on-type-2-diabetes-patients-travel-and-healthcare-costs
#1
Aapeli Leminen, Markku Tykkyläinen, Tiina Laatikainen
BACKGROUND: Type 2 diabetes (T2DM) is a major health concern in most regions. In addition to direct healthcare costs, diabetes causes many indirect costs that are often ignored in economic analyses. Patients' travel and time costs associated with the follow-up of T2DM patients have not been previously calculated systematically over an entire healthcare district. The aim of the study was to develop a georeferenced cost model that could be used to measure healthcare accessibility and patient travel and time costs in a sparsely populated healthcare district in Finland...
July 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29774584/-i-can-see-fine-patient-knowledge-of-eye-care
#2
Elizabeth L Irving, Alisa M Sivak, Marlee M Spafford
PURPOSE: To learn more about the perceptions and attitudes toward eye care of members of the public - in particular, their knowledge of the purpose, components and providers of eye examinations, their ability to self-monitor ocular status and their awareness of major sight threatening eye conditions. METHODS: This study used the qualitative research strategy, grounded theory. Participants were recruited via poster and social media. Two researchers, one with optometric knowledge and one without, moderated seven 60- to 90-min, semi-structured focus group discussions, which were audiotaped and transcribed...
May 17, 2018: Ophthalmic & Physiological Optics: the Journal of the British College of Ophthalmic Opticians (Optometrists)
https://www.readbyqxmd.com/read/29773937/positive-impact-of-a-pilot-pharmacist-run-diabetes-pharmacotherapy-clinic-in-solid-organ-transplant-recipients
#3
David M Newland, Angelina R Edwards, Reed C Hall, Pamela R Maxwell
Purpose: Post-transplant diabetes mellitus (PTDM) can lead to significant morbidity and cardiovascular death with a functioning graft. A paucity of literature exists regarding glycemic control in solid-organ transplant (SOT) recipients, including pharmacist management of PTDM. This study aimed to assess the impact of pharmacist interventions on diabetes management in a pharmacist-run PTDM clinic. Methods: This was a single-center, prospective, observational study of 24 adult SOT recipients enrolled in a pilot pharmacist-managed PTDM clinic from 1 January to 30 June 2015...
May 2018: Diabetes Spectrum: a Publication of the American Diabetes Association
https://www.readbyqxmd.com/read/29771220/mindful-self-hypnosis-for-self-care-an-integrative-model-and-illustrative-case-example
#4
Gary R Elkins, R Lynae Roberts, Lauren Simicich
The combination of mindfulness and self-hypnosis could provide a tool that is easily implemented by individuals who want to care for their well-being in times of high stress. Each discipline has been shown to be effective in relieving stress, and integration could further facilitate change while creating a tool that is highly accessible. There are many similarities between the two practices, such as focusing of attention and the emphasis on mind-body connection. However, important distinctions in psychological (e...
July 2018: American Journal of Clinical Hypnosis
https://www.readbyqxmd.com/read/29770712/evaluation-of-hematocrit-influence-on-measurements-with-a-novel-self-monitoring-of-blood-glucose-system-based-on-iso-15197-2013
#5
Annette Baumstark, Christina Liebing, Nina Jendrike, Stefan Pleus, Cornelia Haug, Guido Freckmann
No abstract text is available yet for this article.
May 1, 2018: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/29764915/remote-physiological-monitoring-in-an-austere-environment-a-future-for-battlefield-care-provision
#6
Matthew J Smyth, J A Round, A J Mellor
Wearable technologies are making considerable advances into the mainstream as they become smaller and more user friendly. The global market for such devices is forecasted to be worth over US$5 billion in 2018, with one in six people owning a device. Many professional sporting teams use self-monitoring to assess physiological parameters and work rate on the pitch, highlighting the potential utility for military command chains. As size of device reduces and sensitivity improves, coupled with remote connectivity technology, integration into the military environment could be relatively seamless...
May 14, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29762686/presenting-self-monitoring-test-results-for-consumers-the-effects-of-graphical-formats-and-age
#7
Da Tao, Juan Yuan, Xingda Qu
Objective: To examine the effects of graphical formats and age on consumers' comprehension and perceptions of the use of self-monitoring test results. Methods: Participants (36 older and 36 young adults) were required to perform verbatim comprehension and value interpretation tasks with hypothetical self-monitoring test results. The test results were randomly presented by four reference range number lines: basic, color enhanced, color/text enhanced, and personalized information enhanced formats...
May 11, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29760294/breath-profiles-of-children-on-ketogenic-therapy
#8
Vera Ruzsanyi, Miklós Péter Kalapos, Christine Schmidl, Daniela Karall, Sabine Scholl-Buergi, Matthias Baumann
Ketogenic diets (KD) were initially introduced to clinical practice as alimentary approaches with the aim to control drug-resistant epilepsies. Therapy control, particularly at initiation, happens through regular blood analysis and control of urine ketone levels. However, there is a lack of fast, reliable and preferably non-invasive methods of analysis. The exhaled breath contains hundreds of volatile organic compounds (VOCs), which can be modified by diet. The instrumental development of VOC detection converges in the direction of low cost sensors, which can facilitate the self-monitoring of the patients in the future if reliable breath markers are available...
May 15, 2018: Journal of Breath Research
https://www.readbyqxmd.com/read/29757069/accuracy-of-a-single-measurement-site-for-self-monitoring-of-patients-with-breast-cancer-at-risk-for-lymphedema
#9
Janine T Hidding, Carien H G Beurskens, Marijke T De Vries, Maria W G Nijhuis-van der Sanden, Hanneke W M van Laarhoven, Philip J van der Wees
PURPOSE: Early detection of breast cancer-related lymphedema through simple self-monitoring techniques may lead to early treatment and improved outcomes. METHODS: Prospective study of circumference measurements at four time points before, during, and after adjuvant chemotherapy with docetaxel, doxorubicin, and cyclophosphamide. Volume was calculated using the 10-cm interval circumference measurement method (reference test) and percentage difference between arms, for volume and circumference, was determined...
May 14, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29753655/are-the-u-s-territories-lagging-behind-in-diabetes-care-practices
#10
Rachel P Ogilvie, Shivani A Patel, K M Venkat Narayan, Neil K Mehta
AIMS: Although U.S. territories fall within the mandate outlined by Healthy People 2020, they remain neglected in diabetes care research. We compared the prevalence and secular trends of four recommended diabetes care practices in the U.S. territories of Guam, Puerto Rico, and the U.S. Virgin Islands to the 50 United States and D.C. ("U.S. States") in 2001-2015. METHODS: Data were from 390,268 adult participants with self-reported physician diagnosed diabetes in the Behavioral Risk Factor Surveillance System...
May 9, 2018: Primary Care Diabetes
https://www.readbyqxmd.com/read/29750415/the-relationship-between-a-balanced-time-perspective-and-self-monitoring-of-blood-glucose-among-people-with-type-1-diabetes
#11
Harriet M Baird, Thomas L Webb, Jilly Martin, Fuschia M Sirois
Background: Self-monitoring of blood glucose helps people with type 1 diabetes to maintain glycemic control and reduce the risk of complications. However, adherence to blood glucose monitoring is often suboptimal. Purpose: Like many health behaviors, self-monitoring of blood glucose involves exerting effort in the present to achieve future benefits. As such, the present research explored whether individual differences in time perspective-specifically, the extent to which people have a balanced time perspective-are associated with the frequency with which people with type 1 diabetes monitor their blood glucose and, thus, maintain glycemic control...
May 10, 2018: Annals of Behavioral Medicine: a Publication of the Society of Behavioral Medicine
https://www.readbyqxmd.com/read/29748160/engagement-strategies-for-self-monitoring-symptoms-of-bipolar-disorder-with-mobile-and-wearable-technology-protocol-for-a-randomized-controlled-trial
#12
Amy Cochran, Livia Belman-Wells, Melvin McInnis
BACKGROUND: Monitoring signs and symptoms in bipolar disorder (BP) is typically based on regular assessments from patient-clinician interactions. Mobile and wearable technology promises to make monitoring symptoms in BP easier, but little is known about how best to engage individuals with BP in monitoring symptoms. OBJECTIVE: The objective of this study was to provide the rationale and protocol for a randomized controlled trial that investigates engagement strategies for monitoring symptoms of BP, including the strategies of using activity trackers compared with self-reports and reviewing recorded symptoms weekly with an interviewer...
May 10, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29743334/randomised-controlled-trial-of-high-versus-ad-libitum-water-intake-in-patients-with-autosomal-dominant-polycystic-kidney-disease-rationale-and-design-of-the-drink-feasibility-trial
#13
Ragada El-Damanawi, Michael Lee, Tess Harris, Laura B Mader, Simon Bond, Holly Pavey, Richard N Sandford, Ian B Wilkinson, Alison Burrows, Przemyslaw Woznowski, Yoav Ben-Shlomo, Fiona E Karet Frankl, Thomas F Hiemstra
INTRODUCTION: Vasopressin stimulates cyst growth in autosomal dominant polycystic kidney disease (ADPKD) leading to enlarged kidneys, hypertension and renal failure. Vasopressin receptor blockade slows disease progression. Physiological suppression of vasopressin secretion through high water (HW) intake could achieve a similar effect, necessitating a definitive large-scale trial of HW intake in ADPKD. The objective of the DRINK trial is to answer the key design and feasibility questions required to deliver a successful definitive water intake trial...
May 9, 2018: BMJ Open
https://www.readbyqxmd.com/read/29743026/the-effectiveness-of-an-online-intervention-in-preventing-excessive-gestational-weight-gain-the-e-moms-roc-randomized-controlled-trial
#14
Christine M Olson, Susan W Groth, Meredith L Graham, Jennifer E Reschke, Myla S Strawderman, Isabel Diana Fernandez
BACKGROUND: Excessive gestational weight gain (GWG) is common and contributes to the development of obesity in women and their offspring. Electronic or e-health interventions have the potential to reach large groups of women and prevent excessive GWG, but their effectiveness has not been demonstrated. The purpose of this study was to evaluate, in a real-world setting, the effectiveness of a self-directed, integrated online and mobile phone behavioral intervention in preventing excessive GWG...
May 9, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29739782/qualitative-process-study-to-explore-the-perceived-burdens-and-benefits-of-a-digital-intervention-for-self-managing-high-blood-pressure-in-primary-care-in-the-uk
#15
Katherine Morton, Laura Dennison, Katherine Bradbury, Rebecca Jane Band, Carl May, James Raftery, Paul Little, Richard J McManus, Lucy Yardley
OBJECTIVES: Digital interventions can change patients' experiences of managing their health, either creating additional burden or improving their experience of healthcare. This qualitative study aimed to explore perceived burdens and benefits for patients using a digital self-management intervention for reducing high blood pressure. A secondary aim was to further our understanding of how best to capture burdens and benefits when evaluating health interventions. DESIGN: Inductive qualitative process study nested in a randomised controlled trial...
May 8, 2018: BMJ Open
https://www.readbyqxmd.com/read/29737202/health-care-costs-hospital-admissions-and-glycemic-control-using-a-standalone-real-time-continuous-glucose-monitoring-system-in-commercially-insured-patients-with-type-1-diabetes
#16
Max Gill, Cyrus Zhu, Mona Shah, Harmeet Chhabra
BACKGROUND: Studies comparing standalone real-time continuous glucose monitoring (rtCGM) to self-monitoring of blood glucose (SMBG) in patients with type 1 diabetes mellitus (T1DM) have found that rtCGM is associated with lower glycated hemoglobin (A1C) levels, yet does not increase the risk of severe hypoglycemia. However, little is known about the relationship between rtCGM and health care costs and utilization. The objective of this study was to compare health care spending, hospital admissions, and A1C levels of patients using rtCGM to that of patients not using rtCGM...
May 1, 2018: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/29735513/a-unifying-theory-for-cognitive-abnormalities-in-functional-neurological-disorders-fibromyalgia-and-chronic-fatigue-syndrome-systematic-review
#17
REVIEW
Tiago Teodoro, Mark J Edwards, Jeremy D Isaacs
BACKGROUND: Functional cognitive disorder (FCD) describes cognitive dysfunction in the absence of an organic cause. It is increasingly prevalent in healthcare settings yet its key neuropsychological features have not been reported in large patient cohorts. We hypothesised that cognitive profiles in fibromyalgia (FM), chronic fatigue syndrome (CFS) and functional neurological disorders (FNDs) would provide a template for characterising FCD. METHODS: We conducted a systematic review of studies with cognition-related outcomes in FM, CFS and FND...
May 7, 2018: Journal of Neurology, Neurosurgery, and Psychiatry
https://www.readbyqxmd.com/read/29735478/development-and-validation-of-a-multidisciplinary-mobile-care-system-for-patients-with-advanced-gastrointestinal-cancer-interventional-observation-study
#18
Ji Yeong Soh, Won Chul Cha, Dong Kyung Chang, Ji Hye Hwang, Kihyung Kim, Miyong Rha, Hee Kwon
BACKGROUND: Mobile health apps have emerged as supportive tools in the management of advanced cancers. However, only a few apps have self-monitoring features, and they are not standardized and validated. OBJECTIVE: This study aimed to develop and validate a multidisciplinary mobile care system with self-monitoring features that can be useful for patients with advanced gastrointestinal cancer. METHODS: The development of the multidisciplinary mobile health management system was divided into 3 steps...
May 7, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29733406/the-development-of-drink-less-an-alcohol-reduction-smartphone-app-for-excessive-drinkers
#19
Claire Garnett, David Crane, Robert West, Jamie Brown, Susan Michie
Excessive alcohol consumption poses a serious problem for public health. Digital behavior change interventions have the potential to help users reduce their drinking. In accordance with Open Science principles, this paper describes the development of a smartphone app to help individuals who drink excessively to reduce their alcohol consumption. Following the UK Medical Research Council's guidance and the Multiphase Optimization Strategy, development consisted of two phases: (i) selection of intervention components and (ii) design and development work to implement the chosen components into modules to be evaluated further for inclusion in the app...
May 4, 2018: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/29724709/usefulness-of-a-novel-mobile-diabetes-prevention-program-delivery-platform-with-human-coaching-65-week-observational-follow-up
#20
Andreas Michaelides, Jennifer Major, Edmund Pienkosz, Meghan Wood, Youngin Kim, Tatiana Toro-Ramos
BACKGROUND: It is widely recognized that the prevalence of obesity and comorbidities including prediabetes and type 2 diabetes continue to increase worldwide. Results from a 24-week Diabetes Prevention Program (DPP) fully mobile pilot intervention were previously published showing promising evidence of the usefulness of DPP-based eHealth interventions on weight loss. OBJECTIVE: This pilot study extends previous findings to evaluate weight loss results of core (up to week 16) and maintenance (postcore weeks) DPP interventions at 65 weeks from baseline...
May 3, 2018: JMIR MHealth and UHealth
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