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Digital interventions

William D Liska, Sarah K Israel, Brian A Poteet
OBJECTIVE: To determine the incidence and outcomes of total hip replacements with polar gaps in dogs. STUDY DESIGN: Retrospective case series. ANIMALS: One hundred fifty-five client-owned dogs. METHODS: Serial postoperative and follow-up digital orthogonal radiographs of 200 hips in 155 dogs that underwent consecutive index total hip replacement (THR) were examined for the presence of polar gaps. Length and depth of polar gaps were measured and monitored on serial radiographs...
February 19, 2019: Veterinary Surgery: VS
Marianna Yaron, Bruria Sher, Daniel Sorek, Mina Shomer, Noa Levek, Tali Schiller, Monica Gaspar, Rachel Frumkin Ben-David, Kineret Mazor-Aronovitch, Efrat Tish, Yoni Shapira, Orit Pinhas-Hamiel
AIM: To examine the effectiveness and safety over a 12-month period of a telemedicine intervention in adults with type 1 diabetes (T1D) treated with insulin pumps. METHODS: 74 T1D patients on insulin pumps for at least 1 year (mean 19.5 [11.5] years) and HbA1c  ≥ 6.5% (≥ 48 mmol/mol) were randomized to the telemedicine (n = 37) or the standard care group (n = 37). The intervention group was instructed to download data from insulin pumps and glucometers monthly...
February 19, 2019: Acta Diabetologica
Claire Tanner, Megan Munsie, Doug Sipp, Leigh Turner, Chloe Wheatland
This article addresses the growing trend of crowdfunding for unproven stem cell-based treatments. Our analysis uses quantitative and qualitative data collected from two popular fundraising sites to examine how these sites are used to fund purported stem cell 'treatments' or 'therapies'. In addition to mapping the use and success of these online campaigns by people with different health conditions in different locations, we consider the breakthrough restitution story as a key narrative that campaign organisers use to solicit donations...
February 19, 2019: Health (London)
Shailendra Dandge, Panniyammakal Jeemon, P S Reddy
OBJECTIVES: We aimed to determine the feasibility and effectiveness of an intervention anchored on mHealth and task sharing strategy of involving non-physician health workers (NPHW) on population level detection, treatment and control of hypertension and diabetes in India. METHODS: Non-physician health workers (NPHWs) equipped with tablet computers that were linked with point-of-care devices for blood pressure (BP) and blood sugar measurements visited households, screened adult individuals for hypertension and diabetes from two randomly selected villages in the Medchal district, Telangana, India...
2019: PloS One
Beatrice Pettersson, Maria Wiklund, Rebecka Janols, Helena Lindgren, Lillemor Lundin-Olsson, Dawn A Skelton, Marlene Sandlund
BACKGROUND: Exercise is effective in order to prevent falls in community-dwelling older people. Self-management programs have the potential to increase access and reduce costs related to exercise-based fall prevention. However, information regarding older people's views of participating in such programs is needed to support implementation. The aim of this study was to explore older people's experiences of a self-management fall prevention exercise routine guided either by a digital program (web-based or mobile) or a paper booklet...
February 18, 2019: BMC Geriatrics
Thushara Perera, Wee-Lih Lee, Mary Jones, Joy L Tan, Elizabeth L Proud, Angus Begg, Nicholas C Sinclair, Richard Peppard, Hugh J McDermott
BACKGROUND: Parkinsonian rigidity is identified on clinical examination as resistance to passive movement. Measurement of rigidity commonly relies on ordinal rating scales (MDS-UPDRS), however instrumented objective measures may provide greater mechanistic insight. NEW METHOD: We present a palm-worn instrument to objectively quantify rigidity on a continuous scale. The device employs a miniature motor to flex the third digit of the hand about the metacarpophalangeal joint whilst transducers record flexion/extension forces...
February 15, 2019: Journal of Neuroscience Methods
M Nissim, Y Hutzler, A Goldstein
BACKGROUND: Aquatic motor intervention has been found to be effective in reducing falls and improving verbal working memory among the general population. However, effects among older adults with intellectual disabilities (ID) have never been explored. The aim of this study was to examine the effects of aquatic motor intervention on fall risk and verbal working memory among older adults with ID. METHODS: Forty-one older adults with mild to moderate ID (age: 50-66 years) were randomly assigned to 14 weeks of aquatic motor intervention (Ai Chi: N = 19) or identical on-land motor intervention (Tai Chi: N = 22)...
February 18, 2019: Journal of Intellectual Disability Research: JIDR
Rocio Herrero, Adriana Mira, Giulia Cormo, Ernestina Etchemendy, Rosa Baños, Azucena García-Palacios, David D Ebert, Marvin Franke, Thomas Berger, Michael P Schaub, Dennis Görlich, Corinna Jacobi, Cristina Botella
Background: The literature shows a high prevalence of depression and anxiety in young people. The university represents a change in the lives of students, and is considered a stress factor. Therefore, it is particularly relevant to develop interventions specifically addressed to students and foster supportive environments and resilient communities. As students are "digital natives", online interventions offer several potential advantages in doing this. This study aims to develop and evaluate the efficacy of an Internet-based intervention (CORE: Cultivating our Resilience), based on the Ryff model of well-being, to promote resilience and coping skills, decrease symptoms of depression and anxiety, and increase overall wellbeing in young people confronting a crucial life event (the university)...
April 2019: Internet Interventions: the Application of Information Technology in Mental and Behavioural Health
Rajat Vashistha, Prasoon Kumar, Arun Kumar Dangi, Naveen Sharma, Deepak Chhabra, Pratyoosh Shukla
Digitalization of health care practices is substantially manifesting itself as an effective tool to diagnose and rectify complex cardiovascular abnormalities. For cardiovascular abnormalities, precise non-invasive imaging interventions are being used to develop patient specific diagnosis and surgical planning. Concurrently, pre surgical 3D simulation and computational modeling are aiding in the effective surgery and understanding of valve biomechanics, respectively. Consequently, 3D printing of patient specific valves that can mimic the original one will become an effective outbreak for valvular problems...
2019: Journal of Biological Engineering
Iuliana Hartescu, Kevin Morgan, Clare D Stevinson
OBJECTIVES: Evidence supports the view that reductions in cognitive hyperarousal contribute substantially to improved sleep outcomes following cognitive and behavioral interventions for insomnia disorder. Assuming an inverted-u relationship between arousal and performance, a theoretical possibility, supported by limited empirical data, is that the same mediating processes could negatively impact aspects of psychomotor performance, reducing speed on tests of reaction time. PARTICIPANTS: Sedentary participants (mean age = 59...
February 17, 2019: Behavioral Sleep Medicine
Anders Dige, Helene Tarri Hougaard, Jørgen Agnholt, Bodil Ginnerup Pedersen, Michaela Tencerova, Moustapha Kassem, Klaus Krogh, Lilli Lundby
BACKGROUND AND AIMS: Perianal fistulas are common in patients with Crohn´s disease (CD). Injections of cultured autologous and allogeneic adipose tissue-derived stem cells have been shown to heal CD-associated fistulas. Unfortunately, this treatment is time-consuming and expensive. We investigated the effects of injecting freshly collected autologous adipose tissue into perianal fistulas in patients with CD. METHODS: In a prospective interventional study freshly collected autologous adipose tissues were injected into complex perianal fistulas of 21 patients with CD, from March 2015 through June 2018...
February 14, 2019: Gastroenterology
A-K Schnurr, K Chung, T Russ, L R Schad, F G Zöllner
Non-conventional scan trajectories for interventional three-dimensional imaging promise low-dose interventions and a better radiation protection to the personnel. Circular tomosynthesis (cTS) scan trajectories yield an anisotropical image quality distribution. In contrast to conventional Computed Tomographies (CT), the reconstructions have a preferred focus plane. In the other two perpendicular planes, limited angle artifacts are introduced. A reduction of these artifacts leads to enhanced image quality while maintaining the low dose...
February 13, 2019: Zeitschrift Für Medizinische Physik
L Mata-Moret, C Chiarri-Toumit, L Hernández-Bel, E Cervera-Taulet
Digital subtraction angiography (DSA) is a technique used in interventional radiology for the diagnosis of vascular cerebral conditions. Central retinal artery occlusion (CRAO) is a complication of endovascular procedures that involve atherosclerotic plaque removal with subsequent embolisation. The case is presented on a patient who noticed a sudden vision loss during a DSA. Funduscopy showed retinal pallor and a cherry red spot. The angiography showed a structure suggesting the presence of an embolus in the central retinal artery...
February 12, 2019: Archivos de la Sociedad Española de Oftalmología
Sascha Miller, Ben Ainsworth, Lucy Yardley, Alex Milton, Mark Weal, Peter Smith, Leanne Morrison
Trials of digital interventions can yield extensive, in-depth usage data, yet usage analyses tend to focus on broad descriptive summaries of how an intervention has been used by the whole sample. This paper proposes a novel framework to guide systematic, fine-grained usage analyses that better enables understanding of how an intervention works, when, and for whom. The framework comprises three stages to assist in the following: (1) familiarization with the intervention and its relationship to the captured data, (2) identification of meaningful measures of usage and specifying research questions to guide systematic analyses of usage data, and (3) preparation of datasheets and consideration of available analytical methods with which to examine the data...
February 15, 2019: Journal of Medical Internet Research
Jane O'Doherty, Leonard F W Leader, Andrew O'Regan, Colum Dunne, Soorej Jose Puthoopparambil, Raymond O'Connor
BACKGROUND: Anti-microbial resistance (AMR) is a global threat to public health and antibiotics are often unnecessarily prescribed for acute respiratory tract infections (ARTIs) in general practice. We aimed to investigate why general practitioners (GPs) continue to prescribe antibiotics for ARTIs despite increasing knowledge of their poor efficacy and worsening antimicrobial resistance. METHODS: We used an explorative qualitative study design. Thirteen GPs were recruited through purposive sampling to represent urban and rural settings and years of experience...
February 14, 2019: BMC Family Practice
Nicola Luigi Bragazzi, Naim Mahroum
BACKGROUND: Plague is a highly infectious zoonotic disease caused by the bacillus Yersinia pestis. Three major forms of the disease are known: bubonic, septicemic, and pneumonic plague. Though being strictly related to past history, plague still represents a global public health concern. Cases of plague continue, indeed, to be reported worldwide. In the last months, pneumonic plague cases have been reported in Madagascar. However, despite such long-standing and rich history, it is rather difficult to get a comprehensive overview of the general situation...
January 18, 2019: JMIR Public Health and Surveillance
Philip Henson, Hannah Wisniewski, Chris Hollis, Matcheri Keshavan, John Torous
BACKGROUND: As mental healthcare expands to smartphone apps and other technologies that may offer therapeutic interventions without a therapist involved, it is important to assess the impact of non-traditional therapeutic relationships.AimsTo determine if there were any meaningful data regarding the digital therapeutic alliance in smartphone interventions for serious mental illnesses. METHOD: A literature search was conducted in four databases (PubMed, PsycINFO, Embase and Web of Science)...
January 2019: BJPsych Open
Mehmet Eser Sancaktar, Mehmet Çelebi, Mahmut Yıldırım, Erkan Can, Gökhan Akgül, İbrahim Ağrı, Asude Ünal, Fatih Yılmaz
PURPOSE: To investigate the safety of outpatient admission and the effects of surgical technique in tonsillectomy operations of adult patients. METHODS: The digital database was scanned for patients aged ≥ 15 years that underwent tonsillectomy in our institution between years 2014 and 2018. Demographic and clinical characteristics, the surgical technique, length of stay (LOS) in hospital, re-admissions after discharge, complications and interventions performed were recorded...
February 12, 2019: European Archives of Oto-rhino-laryngology
Shaohai Jiang, Y Alicia Hong, Piper Liping Liu
PURPOSE: In the past decade, online patient-provider communication (OPPC) has emerged as a viable avenue for cancer survivors to communicate with their providers. However, little is known about the patterns of OPPC among cancer survivors. Thus, the current study aims to explore the trend of OPPC used by cancer survivors, and the influence of digital divide on OPPC in the past decade. METHODS: Data from the 2008, 2011, 2013, and 2017 iterations of the nationally representative survey of Health Information National Trends Survey (HINTS) were analyzed...
February 12, 2019: Journal of Cancer Survivorship: Research and Practice
Gerard Dunleavy, Charoula Konstantia Nikolaou, Sokratis Nifakos, Rifat Atun, Gloria Chun Yi Law, Lorainne Tudor Car
BACKGROUND: There is a pressing need to implement efficient and cost-effective training to address the worldwide shortage of health professionals. Mobile digital education (mLearning) has been mooted as a potential solution to increase the delivery of health professions education as it offers the opportunity for wide access at low cost and flexibility with the portability of mobile devices. To better inform policy making, we need to determine the effectiveness of mLearning. OBJECTIVE: The primary objective of this review was to evaluate the effectiveness of mLearning interventions for delivering health professions education in terms of learners' knowledge, skills, attitudes, and satisfaction...
February 12, 2019: Journal of Medical Internet Research
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